11. Discuss the Pros and cons of capitation vs. FFS. *Capitation and FFS are quite opposite payment process which has its own pros and cons Capitation- payment made in advance to health care providers based on a number of persons assigned to them for a period of time but regardless of seeking treatment or not. Pros- 1) predictable costs and prefixed standard income – in the payers perspective the costs can be predictable which helps in better financial planning. Similarly‚ the payment is
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Public health is different than the clinical nature of medicine (Callahan & Jennings‚ 2002). While there is a greater push for the understanding of public health ethics for the betterment of the population‚ health care professionals cannot forget their main focus of “do no harm” to the patient. Public health ethics is a fairly new idea (Williams & Torrens‚ 2008). The pros to my new idea of better education and training would be to provide insight to the health care professionals that they have
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• Question 1 4 out of 4 points BCBS fee-for-service is also known as traditional coverage. Selected Answer: True Correct Answer: True • Question 2 4 out of 4 points A patient cannot be asked to pay a nonPAR in full on the day of service. Selected Answer: False Correct Answer: False Response Feedback: The correct answer is a patient may be asked to pay a nonPAR in full at the time of service. • Question 3 4 out of 4 points A participating
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There are many ways that privacy and security concerns are addressed. Participating in health information exchange will bring up security and liability concerns. Many clinicians worry that if HIE members have easier access to important patient information‚ then who else will too? Identity theft causes great concern in the health field. With technology arising‚ more and more data and information may be shared with other organizations to other provider which makes it easier for a patient’s identity
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Exercise 2‚ page 27 a. I think women are better listeners than men. | Pro (yes‚ for‚ good) | Con (no‚ against‚ bad) | 1. Women are nurturing by nature. | 1. Tend to get too emotional. | 2. Like to listen and be supportive. | 2. Don’t see a problem in sharing your personal issues with others. | 3. Care to know all details and facts‚ no matter how long it takes. | 3. Will tend to feel they know it all. | 4. Will give advice based on personal experiences. | 4. Can often talk endlessly
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RUNNING HEAD: AETNA: MARKETING SUCCESS IN HEALTHCARE 1 “Aetna: Marketing Success in Health Care” Tara Brown Professor Charmaine Rhames HSA 305-Health Care Marketing May 30‚ 2013
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Health insurance protects you from the high cost of medical care by providing coverage for specific health care services. Although you generally pay a monthly premium and either co-payments or co-insurance‚ the cost for insurance is far less than medical care would be if paid fully out-of-pocket. I do not think there should be limits on the amount of health care provided. The easiest way for everyone to have equal access to health care is to have it financed by the government. Like in Canada where
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Pros and Cons of Economic Growth Fostering economic growth remains at the heart of any national government’s agenda. As such‚ governments have embraced numerous strategies aimed at promoting economic growth‚ such as forging alliances‚ signing business treaties‚ and becoming members to business alliances. Economic growth refers to an increase in a country’s real Gross Domestic Product (GDP) or the value of the country’s national expenditure or output. While increasing economic growth has several
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Material Health Insurance Matrix As you learn about health care delivery in the United States‚ it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker
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HEALTH INSURANCE IN THE UNITED STATES The term health insurance is commonly used in the United States to describe any program that helps pay for medical expenses‚ whether through privately purchased insurance‚ social insurance or a social welfare program funded by the government. Synonyms for this usage include "health coverage‚" "health care coverage" and "health benefits." In a more technical sense‚ the term is used to describe any form of insurance that provides protection against the
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