EVENT/IMPACT ON HEALTH CARE ORGANIZATIONS: MANAGED CARE Significant Historical Event/Impact on Health Care Organizations: Managed Care Erich Hayman Monday‚ May 19‚ 2008 University of Phoenix HCS/530‚ Health Care Organizations Professor David A. Olsen‚ MHA Significant Historical Event/Impact on Health Care Organizations “By 1995‚ managed care plans had become the dominant form of health insurance and enrolled 73 percent of all Americans who were covered by employer-based health benefits
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Why were managed care organizations initially hesitant to use data mining applications? One of the biggest hesitations would have to be cost to build an implement such a system. The technique depends on an organization having "clean" data to analyze‚ which requires data being scrubbed and moved to data warehouses. Many payers lack the money and manpower to build and maintain these warehouses. (Kongstvedt‚ P.‚ Capagemini). In addition‚ internal politics and the numerous constituencies within a
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Organizational Decisions Managed Care Organization or MCO is a health services provider or organization of therapeutic specialist whose primary objective it is to provide adequate‚ cost saving medical treatment. Managed Care Organization is a health insurance conveyance system comprising of partnered or owned medical facilities‚ doctors and others medical service providers who provide an extensive variety of composed healthcare services. It is frequently used term for insurance plans that administers
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Justice in Health Care Amy Sleeger West Coast University Health care in the United States compared to other countries is horrible. Health care should benefit all parties involved not just the big insurance companies. As I watched Sicko I thought to myself “oh gosh I hope I don’t get sick with cancer I can’t afford it.” It is very sad that we as one of the wealthier countries do this to our own people. Health care should meet certain moral standards like making sure all of the individuals
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NURSE MANAGED HEALTH CENTERS AND PATIENT-CENTERED MEDICAL HOMES COULD MITIGATE EXPECTED PRIMARY CARE PHYSICIAN SHORTAGE Des Moines University ABSTRACT There has been an enormous focus on the impending increase in baby boomers approaching the year 2025 and the predicted shortage of primary care providers. This focus has only increased with the implications the Affordable Care Act has created through its provisions of increased insurance coverage for the uninsured. The numbers
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* Weight-loss drugs Market before Metabical * Prevailing Safety Concerns; limiting options for patients * No prescription-drug option for the overweight segment (BMI 25-30) * Many OTC drugs available for patients with BMI 30+ including FDA-approved ‘Alli’ but various negative side effects reported‚ e.g.‚ 30 liver damage cases in Alli & Xenical during ‘99-‘08 * Other solutions categorized as herbal or dietary supplements were not regulated by the FDA i.e.‚ safety not warranted
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1. What is the decision-making process for Metabical? Who is involved in the process? Market research: investigating into the overall adult overweight situation in U.S. fand overweight population and consumers’ perception of the currently existed weight-loss drugs. Analyzing differential advantages: CSP should recognize the Metabical’s competitive factors first. Metabical is the first prescription drug approved by FDA and has less negative side effect and can magically loss weight. Recognizing
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INTEGRATED ELECTONIC HEALTH RECORDS FOR MANAGED CARE ORGANIZATIONS by Peter Oluseyi Okebukola MPH/MBA Intended audience This is a public policy memo directed to the Office of the National Coordinator of Health Information Technology (ONCHIT) within the Department of Health and Human Services (DHHS). CONTENTS Executive Summary Background Definitions stakeholders Options and implications for managed care Individual practice association (IPA) or network model HMOs Staff or group
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Laws Psychologist Psychiatrist masrecovery.com Managed Healthcare Challenges Higher healthcare costs (25-33% overhead) Increased number of uninsured citizens Driving away healthcare providers Downward pressure on quality Prescription Privileges Challenges Treatment vs ‘quick fix’ Abuse Qualifications Removal of need Conclusion Healthcare Discovery Medicine Technology Reference Meyer‚ D.M.‚ (2010)‚ Should psychologist have prescription privileges. Retrieved from: http://findarticles
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Health Law and Ethics HCS/478 Negligence Paper Health care providers have a responsibility to provide competent and safe care to their patients. When patient care is compromised or the patient does not have a successful medical outcome‚ sometimes the legal system becomes involved. It is important to be aware of the terms negligence‚ gross negligence‚ and malpractice because they are often misunderstood. This paper attempts to provide a definition of each legal term in an effort to distinguish
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