"Managed care organization" Essays and Research Papers

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    Marketing Plan

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    Future of Health Care in America Shayna Garber Marylhurst University Abstract The one issue that all Americans agree on is we need to reform our health care system in some way; the part we don’t agree on is how to reform it. There will be no reform that will make every citizen happy‚ in truth I feel that either way we go‚ half of the country will be happy and half of the country will be disappointed. As a country we need to fix how the older citizens are treated‚ how our under privileged

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    HSM 541 Week 6 You Decide

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    Middlefield has opened a wellness center that offers a comprehensive array of preventive and wellness services to the community. Wellness centers can offer services that are very useful and convenient to the community. Some of these services are skin care and body services‚ which include fitness services‚ personal training and nutrition consulting‚ chiropractic‚ holistic medicine‚ and acupuncture.

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    Kaiser Permanente Botches Its Kidney Transplant Center Project Kaiser Permanente is one of the country’s foremost health maintenance organizations (HMOs)‚ also referred to as integrated managed care organizations. HMOs provide health care that is fulfilled by hospitals‚ doctors‚ and other providers with which the HMO has a contract. While Kaiser is a non- profit organization‚ the company earned $ 34.4 billion in revenues in 2007. Kaiser has approximately 170‚000 employees‚ over 13‚000 doctors‚ and serves

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    Quiz Review

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    responsible for the patient’s health bill. The second party‚ often called providers is the physician‚ clinic‚ hospital‚ nursing home‚ or the healthcare entity rendering the care. The third party is the payer‚ and uninvolved insurance company or health agency that pays the physician‚ clinic‚ or other secondary party provider for the care or services rendered to the first party. 2. Compare the UCR and the CPR payment systems. The usual‚ customary‚ and reasonable (UCR) is one version of discounted fee-for-service

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    Pros and Cons of Managed Care Some of the pros for managed care are; Preventive care — HMOs pay for programs‚ they are set up and are intended at keeping one healthy (yearly checkups‚ gym memberships‚ etc.)The idea is‚ so they won ’t have to pay for more costly services when and if one gets sick. Lower premiums — Because there are limits set as to which doctors one can see and when one can see them‚ HMOs charge a premium and usually they are lower premiums. Prescriptions — As part of their precautionary

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    Healthcare Management

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    the latest treatments‚ doctors and products available. Insurance is make up of several aspects like HMOs (health maintenance organizations)‚ PPOs (preferred provider organizations) and many subsystems. For example‚

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    Hcr/230 Week 1

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    from other companies. They create self-funded plans so they do not have to pay premiums to an insurance company or a managed care organization. These plans will give the responsibility of paying for medical services directly. The employer must choose the benefit levels and the types of plans they wish to offer. They are able to set up their own provider networks or lease an organizations network. They can also offer vision and other types of insurance too. The self-funded health plans will hire third-party

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    HCM549 WS 5 Questions 4

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    funding in the U.S. for health care services? The main source of funding for healthcare in the US is the people. Though there is funding from the government; the funds ultimately come from the people through tax money. 2. What are some of the factors that affect the health status of people? Include at least two access (to health services) related factors and two non-access (to health services) related factors. Access to preventative care and quality of provider care are two access related factors

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    Assignment 1

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    Assignment #1 Cooper Green Hospital and the Community Care Plan Robin Farmer Dr. Michelle Rose HAS 599 Health Services Administration Capstone January 26‚ 2013 Introduction: Despite the fact that United States is the most affluent country in the world‚ a significant portion of its citizens have inadequate access to medical care. The barriers to obtaining health care are numerous; perhaps the most difficult hurdle to overcome is the lack of financial resources to pay for

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    Hca.270 Week 2

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    Appendix C - HCA/270 Health Care Finance | PART III - Grouping Expenses by Cost Center | Background: Cost centers are used in an organization to group expenses. For example‚ the patient registration department would be a cost center. All costs associated with operating the patient registration department would be grouped into this cost center. Items such as paper‚ copier rental‚ education and training for new employees‚ and computers used by the registration employees would be allocated to this

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