"Managed care organization" Essays and Research Papers

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    Hmo

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    HMOs: The Health Care of the Beast Many people are concerned about rising health care costs. In reaction to this‚ some individuals and companies are gravitating toward the assumed lower prices of Health Maintenance Organization (HMO) health plans. HMOs spend billions of dollars each year advertising their low cost services. While these savings look good on paper‚ there are many pages of small print. The explanation after the asterisk indicates that not only do the HMOs lack lower costs‚ but they

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    Course Project The facility that of Health Care that I have chosen is Bradford Oaks Nursing Rehabilitation Center‚ Genesis Healthcare‚ Clinton Md‚ 20735. This Nursing home is a Long-term and Short-term nursing home with one level floor holding 180 beds and the facility tries to keep the census up to 170 beds. They are owned by Genesis Healthcare‚ the population that is served there are 80 percent elderly and the other 10 percent is between the age of 21 and up the younger generation. They offer

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    Eventually the government had to step back in and reassess their role in health care. Here is what you need to know about the industry. Types of Health Care Programs: - HMOs are Health Maintenance Organizations that provide health care for a fixed monthly fee. - PPOs are Preferred Provider Organizations are usually offered through large employers where patients can more options and not be as restricted as an HMO. Ambulatory health care services are those that are used on an episodic or emergency basis. They

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    (HSC) for the nonpartisan‚ nonprofit National Institute for Health Care Reform (NIHCR). The study examined emergency and primary care physicians ’ ability-and willingness-to communicate found that haphazard communication and poor coordination can undermine effective care. It was found that little attention has been paid to the patients care coordination that had been treated in hospital emergency departments (EDs). Follow-up care by the primary doctor after a patient leaves the ER is also spotty

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    Michael Moore Film

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    Michael Moore created a film about the American Health Care system‚ the film which stroke thousands of people all over the world. He showed us horrible reality. Nowadays the majority of Americans cannot afford the medical expenses‚ and there are nearly 50 million Americans without health insurance. And as a result these people are doomed to death. Nobody will help them‚ because you know that they don`t have The price of health is exorbitant. the Health system is the great business for country‚ business

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    INQUIRY: The Journal of Health Care Organization‚ Provision‚ and Financing http://inq.sagepub.com/ Do Workplace Wellness Programs Reduce Medical Costs? Evidence from a Fortune 500 Company Hangsheng Liu‚ Soeren Mattke‚ Katherine M. Harris‚ Sarah Weinberger‚ Seth Serxner‚ John P. Caloyeras and Ellen Exum INQUIRY 2013 50: 150 DOI: 10.1177/0046958013513677 The online version of this article can be found at: http://inq.sagepub.com/content/50/2/150 Published by: http://www.sagepublications

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    in health care because of the Pay-for-Performance (P4P) Programs. Pay-for-performance is defined as a plan of reimbursement that connects compensation to quality and effectiveness as a motivation to develop the health care quality as well as making a decrease in costs. Hospitals and providers are being encouraged by government agencies and individual health plans to encourage excellence standards. Pay-for-performance methods could cause consequences such as reduction admission to care‚ add differences

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    receive market rewards.  Requirements: a multidimensional transformation of primary care practice with intensive case management and a payer partnership.  Coordinating Primary Care/Team Effort: “patient Centered Medical Home” Geisinger calls it “Personal Health Navigator” aims to help patients manage all the complexities of their care in one setting. Focus on putting patients/families at the center of care. Doctors‚ nurses‚ technicians and case managers (who coordinates it all). Constantly

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    Running Head: Evolution of Genetic Testing Genetics in Health Care The article discusses the evolution of genetics in primary health care. It emphasizes on the importance of genetic testing in present times‚ and how it has developed and grown from the past. There has been a tremendous progress in health care in using genetics as the diagnostic procedure for not just people with abnormalities‚ but also genetics testing during pregnancy to avoid the bad outcomes when the fetus is born. It is

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    Nurse Navigator Case Study

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    participation in Duke Health workgroups‚ relationships with Duke Health primary care or specialist physicians who see patients on site‚ work with Duke Health care coordinators). Pruitt Health Durham would like to pursue a collaboration with Duke Health in order to coordinate care of Duke Health patients effectively. Previously Pruitt Health Durham has collaborated with Duke Oncology Specialists to provide specialized care to oncology patients. II. Managing Transitions a. Explain in

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