"Managed care organization" Essays and Research Papers

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    Management problems in Healthcare There are many management problems in Health care. There are management problems in every organization‚ but health care sometimes have the biggest management problems of them all‚ because they are dealing with people lives. One of the problems a health care facility can come across is finance. If the patients have no way paying for their treatments than the facility would have to close their doors because they would have no way of paying their employees to

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    Health Care System Is Unfair

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    medical care is available in the United States‚ health care economics and the service delivery system present many challenges for the consumer and practitioner alike. This paper addresses four dimensions that are pivotal to the successes and failures of the system: cost‚ efficiency‚ choice and equity. The interplay of these dimensions across the canvas of health care options defines a system in flux‚ policymakers seeking a fair balance‚ and a nation in need of quality‚ affordable‚ accessible care.

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    The health care industry is a multi-million dollar industry. Health insurance‚ providers‚ technology management‚ and inpatient and outpatient procedures are among the many terms that we hear nowadays within this industry. The principal phrase that seems to be ringing in the ears of the government and policymakers are debt and cost-control. There are fundamental concepts that should be understood throughout the health care industry as it relates to finance. On one hand‚ many individuals have a general

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    underway in California since November 2010. Both waivers affect hundreds of thousands of Medicaid beneficiaries‚ involve billions of federal Medicaid matching funds‚ and are designed‚ in part‚ to promote changes in the health care delivery system that will result in better care for individuals‚ better population health‚ and reductions in costs through system improvements. These 5-year demonstrations are approved under section 1115 of the Social Security Act‚ which authorizes the Secretary of Health

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    Health Care System Evolution Paper This paper will discuss how HMOs have influenced current health care systems. HMOs have been able to reduce health care cost in many ways and have also faced many difficulties along the way. Many Americans years ago did not have health coverage and we are still seeing this today because of the cost of these plans. HMOs or Health Maintenance Organizations are health care plans that reduce health care cost. Members of an HMO are usually required to make a co-payment

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    related to the managed care organizations (Barnes et al.‚2014) Taking in to consideration the Health Maintenance Organizations (HMOs)‚ and in performance improvement programs such as pay-for-performance (P4P) and patient-centered medical homes (PCMHs). HMOs are the strongest form of managed care‚ in that they require patients to stay within the provider network and they incentivize providers to reduce unnecessary care through reimbursements and other mechanisms. Care is typically managed through the

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    Perspectives of Health Care Services Delivery Health care cost has risen dramatically due to advancements in technology‚ proliferation of medical specialty‚ inflation‚ growth of aging population‚ and desires and demands of service users. In order to control the health care costs without jeopardizing the quality and access of care‚ the health care delivery system has been continuously changed‚ resulting in the increased independent specialty practices and the growth of managed care plans (DeNavas-Walt

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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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    limited English proficiency have been coined the "triple threat" to effective health communication by The Joint Commission (Schyve‚ 2007). Forms of communication are important in everyday life but can be crucial in regards to health care. In communication the health care team must first understand where that patient is from to what and how they can address the situation to start the process. This is called cultural awareness. The health team members must be careful. They can use verbal‚ nonverbal and

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    Cooper Green Hospital and the Community Care Plan Danita Hunter‚ DHA‚ PMP HSA 500 April 20‚ 2012 INTRODUCTION In the first section of my paper‚ I want to discuss six unique problems associate with delivering health care to an indigent population. Discuss five ways that the Community Care plan will improve the health status of the community. Discuss the five factors that point to the need for change by Cooper Green Hospital. Discuss five strengths and five weaknesses of Cooper

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