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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system has been continuously changed‚ resulting in the increased independent specialty practices and the growth of managed care plans (DeNavas-Walt‚ Proctor‚ & Smith‚ 2007). Such plans include Health Maintenance Organizations (HMOs)‚ Preferred Provider Organizations (PPOs)‚ and Point of Service (POS). Managed care plans are defined as health insurance plans that contract with health care providers and facilities to provide necessary and efficient health care for members at appropriate costs (MedlinePlus
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delivery was developed for the primary purpose of containing healthcare costs. Observing from my classmates I have learned from them that there are six types of managed care models. There are the health maintenance organizations (HMOs)‚ the preferred provider organizations (PPOs)‚ exclusive provider organizations (EPOs)‚ physician hospital organizations (PHOs)‚ point-of-service (POS) plans‚ and provider-sponsored organizations
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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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