Healthcare Management Assignment Mba

Topics: Health care, Health economics, Medicine Pages: 22 (6707 words) Published: August 20, 2013
ASSIGNMENT

HEALTHCARE MANAGEMENT

DR. R. KOM NGUETCHUENG
MBA YEAR 2
STUDENT NUMBER MBA 109508

TABLE OF CONTENTS

QUESTION 1..……………………………………….P.4
Q.1.1..……………………………………….P.4

Q1.2..……………………………………….P.5

QUESTION 2..……………………………………….P.8

QUESTION 3..………………………………………. P.11

Q 3.1..………………………………………. P.11

Q3.2..………………………………………. P.12

QUESTION 4..………………………………………. P.14

Q4.1..………………………………………. P.14

Q4.2..………………………………………. P.15

Q4.3..………………………………………. P.16

REFERENCE..………………………………………. P.20

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QUESTION 1

QUESTION 1.1
There is a saying in French that proclaims `la vie est un long fleuve tranquille` (life is long and quiet river). Probably the author of this maxim thought about the tranquility and layback life that prevails in the Mediterranean. The reality is that it may well be that life turns out to be that cool and easy, trouble-free adventure but what if there are adverse events that occur? The cost of living is such that, for people to maintain their standards of living they have to have some kind of insurance for bad days. If one decides to buy a car that costs hundreds of thousands of Rands, it would sound suicidal not to insure it against accidents or other adverse events depending on the individual situation of anyone. That is how insurance ends up being part of the normal budgeting of many households. It is understood that many Black South Africans have got so many insurances that they don’t even know the reasons why they took them up at the first place.

All of our assets especially the most valuable ones ought to be guarded against misfortune. Health is wealth, it is said. As the most important asset that one possesses, it only makes sense that one should protect it and devise means to restore it to its original status in case of trouble. According to Investopedia, Health insurance is a type of insurance that pays for medical expenses in exchange for premiums. The insured individual pays monthly or annual premiums and the insurer contracts healthcare providers (hospitals, medical practitioners) to provide benefits to its members at a discounted rate. When taking up a contract with an insurance, the insured person receives a booklet with the list of providers and the specific costs that are to be paid by either parties (insurer and insured). The costs covered can include medical tests (bloods samples, ultrasound, X-rays….), drugs and treatments referred to as covered services. There are of course limitations and exclusions that should be specified in the service provider booklet. So before any medical procedure is performed the insured person should check the quality of the cover provided. In the case of partial cover of a specific service, the insurer may request out-of-pocket fee from the insured. The type of insurance and the premiums will determine the extent of the cover provided.

There are different ways to purchase a health insurance:
* directly from the insurance company through an agent or through a broker. If for instance a person wants to take a health insurance with Old Mutual Health Insurance, he could meet with a broker, explain the contract and the amount of cover and then enroll. * employee-sponsored programs. Public service employees are enrolled into a medical aid as part of their package. The health insurance is GEMS and it offers extensive cover for government employees. In the Port-Elizabeth area , there are a lot of leather factories and the employers have got into contract with some general practitioners and their employees can attend these GPs at `no cost` in case of medical need.

ADDITIONAL COSTS
it is important to note that apart from the premiums there are also other potential costs involved when one takes up an insurance. Other possible costs that...
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