Ans) In general, managed care plans are better suited for the average individual because they end up being most cost-effective in the long run.
- In contrast, indemnity/ reimbursement plans usually hit you with more out of pockets charges (in the form of deductibles and copayments) and opened place cabs on the amount of benefits you can receive over your lifetime.
- Indemnity plans do give you more freedom, however then managed care plans in terms of using the healthcare provider of provider your choosing so as with anything else the choice between managed care and indemnity plans ultimately depends on your personal circumstances and preferences.
- If your goal is to minimise cost, you're probably better off.
Imagine you are employed as an account professional in a health care organization. Which type of...
Select a health care organization. You can select any health care organization of interest -- a hospital, an insurance company, a long-term care facility, a pharmaceutical company, a community clinic, a durable medical equipment company, etc. Explain the services/products provided by this organization. Identify and explain the key health care industry trends that impact the type of organization that you selected. Explain which specific management skills a manager would need to help the organization that you selected to adapt to...
A Health Maintenance Organization (HMO) is a type of health insurance plan that a. You will receive most or all of your care through a provider network b. You must choose a PCP c. Covers care both inside and outside the plans provider network d. a and b
Imagine you are a quality leader for a health care organization, and you have been asked to create a document for new employees to introduce the basic concepts of risk and quality management. Write a 1,050- to 1,400-word paper in which you address the following: Explain basic concepts of quality improvement in the health care industry. Explain the concepts of risk and quality management in the health care industry. Analyze the information needed for decision-making processes in risk and quality...
Addressing the "Triple Aim" in health care, there are five strategies that are necessary to achieve this goal in health care organizations: Focus on individuals and families, Redesign of primary care services and structures, Population health management, Cost control platforms, and System integration and execution. Which strategy do you feel is most important for health organizations to focus on to achieve the "Triple Aim"; which goal do you feel is most challenging?
Imagine some of the issues that may require you, as a health care professional, to recall information in the Patient’s Bill of Rights and use it as the basis for your actions.For this assignment, you will post: What you would do if faced with the scenarios below. Include the following three items in your posting. I would suggest numbering your answer to make sure you have included everything. ITEMS: 1. Which component/s of the Patient’s Bill of Rights addresses the...
The health care organization where you work just purchased a community hospital. You have been asked to serve on a clinical health care information system committee to merge the two health care information systems. 150 words 1. What do you think is the role of the nurse in a health care information system selection committee? 2. What considerations should be taken into account when merging two different health care information systems? 3. After a decision is made to select a...
15) Which ethical principle, concept, or theory of health care ethics do you think will be the most helpful in your work as a health care professional?
As a health care professional, please discuss some of the things that you feel are important to keep in mind when working with families/individuals that are struggling with poverty and just trying to make ends meet.
As a health care professional, please discuss some of the things that you feel are important to keep in mind when working with families/individuals that are struggling with poverty and just trying to make ends meet.
Select a health care setting of interest (hospital, community care, transitional care, home care, and primary care) with which you have experience (managerial experience is not necessary). Which basic human resources function do you anticipate as the most challenging? Why?