"Jerry McCall is Dr. William 's office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do"(Fremgen, 2009, p. 85)?…
Look at health care from an economical view point and learn how economics has a major effect on the management of health care in our society. I chose the first two words on the list, resources and quality, along with opportunity cost, to discuss in this paper. In the discussion the terms will be defined and the relationship that the terms share in the view of market economics and the health economics will be analyzed. The question will be asked, “How are these three terms related and the effects they share on the health care community. Also what affects do they play in health care’s organizations economical…
The agencies that are in charge of monitoring health care facilities and practitioners are known as health care regulation agencies. These agencies also provide the organizations with information about changes in the industry. At the federal, state, and local level the agencies establish rules and regulations that health care organizations have to follow mandatorily. Some agencies, especially those that provide accreditation for health care professionals, require no mandatory participation. The objective of this paper is to examine one of those health care regulatory agencies; the Centers for Disease Control and Prevention.…
From these chapter I have gain the knowledge of know, the delivery of health traditionally evolved around the individual relationship between the provider and patient/consumer. The payment was either provided by a health insurance company or paid out of pocket by the consumer. This fee-for-service system or indemnity plan increased the cost of healthcare because there were no controls on how much to charge for the providers service. As healthcare costs continued to spiral out of control throughout the decades, more experiments with contract practice and prepaid service occurred randomly across the U.S. healthcare system (Shi & Singh, 2008)…
Health care in the United States of America is a delicate balance between the supplier and the demander. The supplier is the person or company providing health care services, procedures, or good, and the demander is the consumer who is in need of the health care services, procedures, or goods. Supply and demand between these two sides of health care is how the prices of health care services are created. This equation has been the backbone of providing health care and paying for the services rendered.…
The HMO sells the health insurance coverage to customers on a per capita basis. The HMO assumes all responsibilities including financial risk for providing the care. The HMO is reliant on the providers to assess the HMO member’s condition and to provide appropriate levels of care. From the health care facility perspective, Health Maintenance Organization (HMOs) objective is to maximize profit, in efforts to increase and improve the quality of care to its members while the physician objective is to maximize net income. Healthcare providers will be forced to become more pre-conscious and cost-effective if HMOs gain market shares.…
The new healthcare bill in the United States, called the Affordable Care Act, has changed American healthcare for the worse. There are three main groups besides politicians and the public who are most affected by this bill. There are associations like the American Medical Association who are concerned with the wide ranging global and national effects of the bill. There are individual professionals who are concerned what the bill will mean for their profession. And there are the insurance companies who are having difficulties incorporating the bill. Some of the problems with the bill include, but are not limited to, hospital/doctor…
Private divisions of insurances are not only enduring obstacles due to the health care spending, but Medicare and Medicaid are also being affected greatly. With having The Health Care Reform Act in effect soon it will hopefully assist in driving down or maintain the cost of health care received and used by citizens. The reform also stated that it will offer a distribution system that works more efficiently for medical professions and…
What are the new demands on disease management programs? Which regulatory agencies are responsible for these demands? Are there risks to the demands and are there behavior limitations to these management programs? In your discussion, provide examples of two successful Disease Management Programs from real life. Why were these programs successful? Can they be replicated in other settings? What are the challenges to replication?…
Examine how the strategic plan affects the health care organizations assets, resources, competencies, and financial decisions. Discuss how health care managers ?think strategically,? and how health care providers influence a health care organizations competitive Examine the strategies used by health care organizations to analyze external influences that shape the ongoing development of strategic plans. Discuss how technology is implemented to assess the health care market and improve positive health care outcomes for a diverse Discuss how a health care organization develops their mission statement, goals, vision, and values statement and how they affect the organizations strategic direction. Discuss the purpose of how the organization determines if/when changes are needed as they grow. How is that growth fostered regarding revenues and profitsExplore how health care organizations/managers monitor the strategic plan and how changes are made regarding financial performance drivers, clinical quality factors, and marketing both internally and externally Examine strategic financial management concepts, the effects of supply and demand on the health care organization and how managers use contemporary financing practices in conjunction with the strategic plan. Examine and compare strategic plans of various types of organizations as a means to understand the need for change and diversity…
The United States Congress consists of the Senate and the House of Representatives. The Congress meets in the Washington, D. C. in the U.S. Capitol. Each state has two members representing it in the Senate, regardless of the population of the state. The Senate has certain powers that the House does not. These include accepting to treaties as a precondition to their ratification and accepting or confirmation of appointments of Cabinet secretaries, federal judges, military officers and other federal government officials. The number of House of Representatives for each state is determined by the population of each state. Powers that the House of Representatives hold include the power to start revenue bills, impeach officials, and the power to elect the President in Electoral College deadlocks.…
At least 70 million Americans have registered in the HMOs whereas 90% have been a fraction of the Preferred Provider Organizations (PPO). Although there has been a turn down in joining managed care, it remains the ideal kind of health care and cover up. The need to advance result and efficiency in health care inspired the progress of managed care in the US. Currently, research shows that managed care has managed to diminish healthcare costs amid the US citizens through constricts on exploitation of services. In the western parts of the country, managed care has managed to lessen the hospital admittance rates, as well as time-span of stay. It is imperative to assert that there is an upward dissatisfaction with managed care organizations, and numerous people suppose that the system will not persist with its present state. Changes are impending since there is a taut competition amongst managed care themselves. It is thus believed that charges and benefits will no longer be the driving force, but value of the health care will take preference (Shi & Singh, 2008). The novel scheme of the managed care is determined to purge all the intermediaries so that health care providers can deliver their services straight to the employers. This is imperative since owners would reimburse less, on the other side, providers would obtain better reimbursement. Accordingly, clients would obtain enhanced…
Under ideal economic conditions the market will produce goods and services we want with the right quantities and lowest possible cost to the consumer. Information must be provided so that the buyers and sellers are aware of prices and quality of those goods and services. However, these conditions do not exist in the health care sector. We usually do not know the cost of the care we are going to consume for several reasons. We do not have sufficient understanding of treatment options, so we do not know exactly what type of care we should receive. Insurance coverage shields us from the direct cost of care. Hospitals and providers negotiate different rates with different health insurers. Very little neutral information about the quality of care is provided, information about services we actually need is usually limited and consumers have no real ability to separate the care needed from unnecessary care. To make a judgment between products, we must be able to judge value. Information from which to make decisions—present in markets for many other goods—is lacking in health care, which makes it difficult to judge value in the health care…
Such tools as pharmaceutical and insurance companies, specialty fields, training groups, and rehabilitation concentrate on the individuals needs pertaining to treatment. The pharmaceutical companies provide the medications to control or cure a particular illness or ailment. Prescriptions can cost anywhere from $3 (Wal-Mart, and/or CVS generic) to $100+ for a single bottle of medication. Most prescriptions are prescribed after the person has already been diagnosed and is ready for treatment. These treatments can also assist in maintaining a particular level of health. The insurance…
I can relate to all the confusing surrounding all the rules of the Affordable health. However, affordable health care ought to be ubiquitous and responsive to changes in consumer demand (Mokhtai, 2016). Providing affordable health care by reducing out-of-pocket costs, and encouraging prevention, maintenance, and promotion of health are essential elements of promoting the health of nation. A patient-centered health care system should enable patients to act as sovereign consumers, but a health care industry that is rationalized by its legacy of dysfunction makes this evolution slow and challenging. While a desirable free market solution for the health care industry is yet to be invented, introducing competition into the existing system will help—health…