Preview

Health Insurance and the Effect of Writing Hiv/Aids

Powerful Essays
Open Document
Open Document
1488 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Health Insurance and the Effect of Writing Hiv/Aids
RESEARCH TOPIC:

HEALTH INSURANCE PRICING AND THE EFFECT OF WRITING HIV/AIDS INTO THE BUSINESS: Striking a balance between indiscrimination, risk management and competitiveness.

INTRODUCTION/BACKGROUND
Despite significant advances in HIV treatment and education, people living with HIV and AIDS have had a difficult time obtaining private health insurance and have been particularly vulnerable to insurance industry ‘abuses’. What are the insurers’ excuses for these ‘abuses’? What changes can begin to improve access to insurance for people living with HIV/AIDS and other disabling conditions and help people with these conditions retain the coverage they have? Are they so much of a high risk that incorporating them into the business portfolio would lead to them having to pay too high a premium; otherwise the business will be exposed to an unfavourable business risk? This paper seeks to look into all these and other issues.
Health insurance,sometimes referred to as Medical Aid Schemes,are schemes that help pay your health related fees like doctor’s fees, medical costs, hospital fees and so on. As a policy holder you pay a monthly fee to the medical aid company, which allows you as the policy holder to be medically covered up to a certain amount. Medical schemes have numerous advantages, chief among being the ability to access medical attention even when financial situations are less than favourable. The quality of care is another advantage of medical schemes. The doctors and hospitals that medical schemes refer their clients to must meet certain standards as prescribed by the law in any location a medical scheme might operate within. This fact alone encourages a medical scheme to provide the best medical care that it can. Most care givers associated with medical schemes are private clinics, doctors, and specialists. There are over 10 such health insurance companies in Zimbabwe.

“I have had lots of friends who've been affected by Aids and a very good friend of mine,

You May Also Find These Documents Helpful

  • Better Essays

    Managed care organizations can save money by providing lower prices through contracting large volumes of services and reducing the amount of hospitalizations (Getzen & Allen, 2011). This essay presents a scenario in which I am a representative of Castor Collins Health Plans responsible for maximizing profits and minimizing risks. Within my job description, I am advised to develop a comprehensive health insurance plan for two entities: ConstructIt and E – Editors. This essay explains the company’s employee demographics, health risk factors, premium amount the company is willing to pay, and what company I chose to offer a health insurance plan. Based upon my analysis of potential utilization, I will provide two reasons…

    • 1187 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) attempts to address some of the barriers to healthcare coverage and related job mobility impediments facing people with HIV as well as other vulnerable populations. HIPAA has three main goals. The first is to provide persons with group coverage new protections from discriminatory treatment. The second is to enable small groups (such as businesses with a small number of employees) to obtain and keep health insurance coverage more easily. The third is to give persons losing/leaving group coverage new options for obtaining individual coverage. This law provides several protections important to people with HIV/AIDS. The first is it limits (but does not wholly eliminate) the use of pre-existing condition exclusions. It also prohibits group health…

    • 448 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    When a health care practice is providing medical services to their patients its essential that they are aware of how the patient is going to pay for the services they receive. The main resource that patients use to pay their medical finances is health insurance. When a patient is covered by health insurance they are required to provide their health provider with the necessary proof of what their health insurance coverage entails. Afterward its the health provider's objective to verify the benefits that the patient is eligible for concerning their health care coverage. All health insurance is different some insurance providers obligate the patient to pay a higher premium with low or no co-pay cost, and then other health insurance providers ask the patient to pay a low premium with a higher co-pay than others.…

    • 386 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Hiv And Aids Dbq Essay

    • 795 Words
    • 4 Pages

    HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) are conditions in the human body that cause failure in the immune system leading to life threatening infections and tumors. HIV was first discovered 30 years ago on June 5th, 1981 in a group of young gay men. HIV began to spread through the entire population of people. Since then over 60 million people have been infected with HIV and more than 25 million have died form an AIDS related causes (www.emedicinehealth.com). HIV/AIDS is a big issue, because it’s affecting a large portion of today’s population. Creating a public health plan will help people who have HIV/AIDS, and ones at risk of being infected.…

    • 795 Words
    • 4 Pages
    Good Essays
  • Good Essays

    In the United States one of the leading causes of death for African American women is HIV/AIDS. This paper is on the African American women living in the United States with HIV/AIDS, how the health care policy affects them and the different stakeholders that are being affected by the health care policy.…

    • 401 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Truvada

    • 1685 Words
    • 7 Pages

    The AIDS epidemic is taking its toll on the economies of many African nations. People between the ages of 15-49 make up the bulk that is affected with HIV or AIDS. This just so happens to be the ages that most people work. Many companies experience losses in productivity because those stricken with the disease are forced to miss work because they are sick. “Comparative studies of East African businesses have shown that absenteeism can account for as much as 25-54% of a company costs” (Avert.org, 2004). Companies are also suffering losses with the costs of healthcare and funerals.…

    • 1685 Words
    • 7 Pages
    Good Essays
  • Good Essays

    HIV infection has progressively become an epidemic disease, spreading virtually to all social classes. Every year, high new-infection rates are reported even though public health initiatives attempt to develop awareness for prevention. It is known that high-socioeconomic status groups are more prone to adapt preventive life style measures1 and are increasingly striving for empowerment in their healthcare decisions. Nowadays, citizens have easier access to information and know that an healthier life style might delay or even prevent seeking medical assistance which, in some countries such the USA, might be quite expensive. These upper social classes are potential consumers for HIV rapid tests market, since they have both the purchasing power to acquire them and the willingness to control major determinants to their health-status.…

    • 1146 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Discrimination of Hiv/Aids

    • 1479 Words
    • 5 Pages

    In the rural area of Nigeria, an AIDS patient cut his hand and, when he went to the closest hospital to bandage it, the doctors kept transferring him from one outpatient department to another medical ward, then to another one because they did not want to get infected from him. He offered them money, and only after long debates, they took the money from him with tongs (Cao 522). This is just one example out of many of discrimination against HIV-positive people. Today in society, there is a big ethical issue question concerning stigma and discrimination of HIV/AIDS patients and their rights and standing in the community. There are many types of discrimination such as discrimination in health care and in the surrounding community. These acts lead to very harsh and dangerous consequences. Discrimination of HIV/AIDS patients in health care field and in society is morally wrong because such unthoughtful actions of people result in negative consequences: HIV-positive people lose important and fair health care and medical check up; a further spreading of the disease happens; and emotional trauma, like depression, is observed.…

    • 1479 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    Health System in Mauritius

    • 1578 Words
    • 7 Pages

    Access to health services is easy in Mauritius. Government hospitals were opened to serve the people. Millions of rupees are spent each year in the health sector. Medical services available to the population by the government are free. No money is charged for any treatment and it also applies for the medicines given plus the stay and the food at the hospitals. Long ago, high qualified doctors were made to come to carry out complicated operations. Today, good qualified doctors are employed and these operations are made in the country itself. There was also a lack of necessary equipment to carry out operations. It is no longer a trouble as it was made available in the hospitals. A new range of high tech diagnosis facilities such CT scan, MRI and nuclear medicine are provided. Developments in treatment such as major expansion in heart surgery, transplant surgery, cobalt radiotherapy for cancers and more up-to-date equipment for operation theatres and intensive care units were made. A huge amount of money is needed in order to go and get the necessary treatment abroad. But the government is giving a helping hand by paying part of the fees of those who can’t afford.…

    • 1578 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Hiv/Aids in the Workplace

    • 2369 Words
    • 10 Pages

    On 20 June 2004, George Hope, the General Manager of Caron Foods, a major manufacturing company in Barbados, faced the challenge of having to deal with the death of one of his employees - Maxine Cave - who had died of AIDS. Maxine was a production worker in the food plant and had been with the company for five years. She was a dedicated employee who had a positive work attitude. She rarely missed a day from work, was always on time, and got along well with her fellow employees. In fact, it was rumoured that she had had intimate relationships with at least seven men in the Production Department. George Hope was informed about the cause of death by a fellow employee in the Production Department who lived in Maxine’s neighbourhood. He, along with other staff, had heard rumours and had noticed that she had become quite thin. Even though she had been absent from work for long periods during the past year, they had never imagined the seriousness of the illness – which she had chosen not to disclose to anyone in the organisation. Rather than face the stigma and discrimination associated with this illness, she had chosen to resign. In the absence of any policy or procedure, George Hope now had to determine how he was going to deal with the rumours and innuendo surrounding the AIDS death of one of his employees, as well as the impact that this news could have on his other employees and on the sustainability of his organisation. “My management training never prepared me for dealing with fear and death in the organisation,” he mused. HIV/AIDS in Barbados Barbados is the most easterly in the chain of islands in the Caribbean, and is washed by the Atlantic Ocean on its eastern side and by the Caribbean Sea on the west. The island depends…

    • 2369 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Healthcare finance and services providers in Zimbabwe were not spared by the economic downturn of the past decade. Most medical aid societies, practically collapsed when co-payments demanded by service providers exceeded their global limits on benefit payaments.…

    • 2249 Words
    • 9 Pages
    Better Essays
  • Satisfactory Essays

    Impacts on sexually active people is that they will not be able to go to school or work and will be a burden to society and the disease will transfer to the children and infant mortality rates will increase.…

    • 354 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Rajiv Arogyasri

    • 5663 Words
    • 23 Pages

    Rajiv Aarogyasri Health Insurance Scheme is being implemented in the state of Andhra Pradesh in India to assist poor families from catastrophic health expenditure. The scheme is a unique PPP model in the field of Health Insurance, Tailor made to the health needs of poor patients and providing end-to-end cashless services for identified diseases through a network of service providers from Government and private sector. The scheme introduced on 01.04.2007 in three backward districts of Mahaboobnagar, Anantapur and Srikakulam on pilot basis was subsequently extended to the entire state in phased manner to cover 20.4 million BPL families encompassing 70 million population spread across 23 districts of the state from 17.07.2008. The scheme started with coverage to 163 identified diseases in 6 systems was gradually extended to 330 diseases in 13 systems under Aarogyasri-I. The coverage under the scheme was extended to 942 procedures in 31 systems with addition of 612 procedures through Aarogyasri-I. The scheme was formulated in consultation with specialists in the field of Medicine, Health and Insurance to address the needs of catastrophic health expenditure among the BPL families of the state and at the same time not to sideline the existing infrastructure in government hospitals. However the scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation.…

    • 5663 Words
    • 23 Pages
    Good Essays
  • Good Essays

    HIV in the work place: All work places of any reasonable size must be under obligation to develop and implement policies to address…

    • 561 Words
    • 3 Pages
    Good Essays
  • Best Essays

    After the Apartheid era, massive inequalities in income, health status, access to health care and other social services continued to dominate in South Africa. The Apartheid era was a system of racial segregation that was implemented in South Africa from 1948 to 1994. Due to colonization, whites had ruled South Africa for several centuries, which resulted in the creation of a system that was constructed to serve as a legal framework for continued economic and political dominance by people of European descent (WHO 2003: Antiretroviral Therapy). The apartheid era came to an end as a consequence of both inner and global pressure and South Africa’s new democratic government. The new government claims that improving the access to health care is a main priority noting, “emphasis should be placed on reaching … the most vulnerable” (Department of Health 1997:13). Giving access to health care is becoming an even greater challenge. South Africa was, and is still facing an exploding HIV/AIDS epidemic that, if anything, is highly associated with health care demands. Today, there are more than 5.3 million people living with HIV/AIDS in South Africa, this accounts for more than 21.5% of the entire population (CIA World Fact book: 2006). This paper aims to understand how the health care sector has dealt with the challenges faced in dealing with immense inequalities and a growing epidemic in the context of globalization. Furthermore, it will become evident that South Africa has, in some ways, addressed these challenges effectively but these challenges are facing a great developmental trap. Therefore, simple strategies that could offer potential benefits to South Africa in light of these challenges will be examined.…

    • 3218 Words
    • 13 Pages
    Best Essays