Blue Shield-HMO/PPO Quarterly Bonus depending on Kaiser Performance of Company Health Net-HMO/PPO Company car Dental Plan Vacation Condo Available Delta Dental-HMO/PPO in Hawaii
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Health Care Costs Health care costs have become a major issue in the United States‚ both socially and politically. According to the U.S. Census Bureau‚ 50.7 million people‚ or nearly one in six U.S. residents‚ were uninsured in 2009 (Kaiser Health News‚ 2010).This is because the high cost of health care has driven the cost of insurance out of the reach of many Americans. Contributing factors to the continuing increase in the cost of health care are the generally unhealthy lifestyle practiced by
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ASSIGNMENT HEALTHCARE MANAGEMENT DR. R. KOM NGUETCHUENG MBA YEAR 2 STUDENT NUMBER MBA 109508 TABLE OF CONTENTS QUESTION 1 ..………………………………………. P.4 Q.1.1 ..………………………………………. P.4 Q1.2 ..………………………………………. P.5 QUESTION 2 ..………………………………………. P.8 QUESTION 3 ..………………………………………. P.11 Q 3.1 ..………………………………………. P.11 Q3.2 ..………………………………………. P.12 QUESTION 4 ..………………………………………. P.14 Q4.1 ..……………………………………….
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Keller Graduate School of Management Study Guide for Final Exam 1. Give four examples of major Equal Employment Opportunity laws and/or regulations‚ including the name of the act‚ what it does‚ whom it covers and who enforces it. Name of Act | What is does | Whom it covers | Enforcement Agency | Title VII of the Civil Rights Act of 1964 | Forbids discrimination based on race‚ color‚ sex‚ national origin‚ or religion | * Employers with 15 or more employees working 20 or more weeks a year
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and there are often third party administrators that help manage insurance claims and needs. In both plans the benefits only exist with current employers and are not transferable or “portable”. Both plans provide options of provider networks of PPOs‚ HMOs‚ or POS. With employer-sponsored plans there is a possibility choose which provider network is used‚ but this too may have an effect on the overall cost of the plan. With self-funded plans the costs vary and can depend upon the choice of which
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Preferred Provider (PPO)‚ Point of Service (POS)‚ and Exclusive Provider Organization (EPO); the Health Maintenance Organization (HMO) is the most preferred and utilized group health insurance plan. As a HMO representative of Castor Insurance‚ health care coverage will be built‚ including the potential utilization of the services by different enrollees. Castor Collins Health Plan Castro Collins Health Plan is a regional HMO that was founded in 1999. As a HMO‚ they provide health
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Burns‚ M Chitty‚ K. K.‚ & Black‚ B. P. (2007). Professional Nursing: Concepts and Challenges. St. Louis: Saunders‚ Inc. Cohen‚ D. (2008‚ February 19). Health Insurance Types- HMO and PPO- Pros and Cons. Retrieved September 9‚ 2009‚ from Ezine Articles: http://wzinearticles.com/?Health-Insurance-Types--- HMO-And-PPO---Pros and Cons&id... Fang‚ H.‚ & Rizzo‚ J. (2008). The changing effect of managed care on physician financial incentives. American Journal of Managed Care ‚ 653-660. Hansen-Turton
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• ICD-9‚ ICD-10 coding‚ EDI(Electronic data interchange)‚ transaction syntax like ANSI X12 • Participated and actively functioned in Joint Application Development (JAD) • Strong Experience in Test Plans development‚ Test Conditions and Test Cases‚ test data creation and analysis‚ interaction with the development team for error detection and correction. • Understanding the Business Intelligence concept using set of methodologies‚ processes‚ architectures‚ and technologies that transform
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government ran program available to anyone 65 and older regardless of their income. There are 4 parts to Medicaid‚ parts A‚ B‚ C‚ and D. Part A deals with hospital bills‚ Part B handles medical insurance‚ Part C deals with health maintenance organization (HMO/PPO)‚ and Part D covers prescriptions.
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control that they have over physician providers. They have also improved patient quality/satisfaction. 4. Open-panel HMOs allow physicians to see other patients (moderate control over providers) but they are HMOs that contract with physicians to provide care to enrollees in a physicians’ office. They include the IPA and direct-contract model. On the other hand‚ closed-panel HMOs contracts with or employs physicians who see enrollees on an exclusive basis. No other patients are treated (maximum control
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