...Isaac Rogers 1 March, 2015 Prof. Watson PHSC 2 ACA Section 2551 Disproportionate Share Hospital Payments The Federal Government provides supplemental funding to “disproportionate share” hospitals (DSH) which are hospitals that serve a large number of Medicaid, low-income, and uninsured patients. Under federal law, state Medicaid programs must take into account the situation of these hospitals and provide a supplemental payment to the normal reimbursement the hospital would receive under Medicaid for inpatient services. These supplemental payments, known as DSH payments, are determined by a hospital’s disproportionate patient percentage, which is the sum the Medicaid fraction and the Medicare and Supplemental Security Income fraction expressed as a percentage. In many cases, disproportionate share hospitals which are often times called “safety net” hospitals rely on this Federal compensation for financial stability. Which hospitals receive DSH compensation, and the amount of compensation is determined by each state. The affect of the passage of the Affordable Care Act on the uninsured population is significant. The Congressional Budget Office estimates that an expansion of public health care programs and the availability of new health insurance coverage options under the ACA will reduce the number of uninsured by 32 million. Keeping such expectations in mind, the ACA proposes policy for reducing DSH payments to reflect lower uncompensated care costs relative to increases...
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...Problems with employees may arise from time to time in even the best-run business so discipline consideration should be enforced and punishment should be given to those who are perceived to have broken them (Edward, 2000:319).The statutory legislation to perform a rules for employees to maintain the order of the at their workplace, so the employee is bounded to obey the discipline imposed at his workplace, thus being created a specific subordination between the employer and his employees (Vieriu,2009). Every company must establish a discipline procedure because it can produce a controlled performance between employer and employee as a guidance of their own talent and resources (Torrington, Hall, and Taylor, 2002, p.528). ACAS disciplinary procedure is the one rule that help and encourage all workers to achieve and maintain standards of conduct, attendance and job performance to ensure consistent and fair treatment between employer and employees. Extract from (Disciplinary rules and procedures, 2004, para.60), a good disciplinary procedure should: * Be put in writing and tell employees what mistake they do. * Say to whom they apply and note them orally especially those difficult in langue problem. * All the issue will deal without undue delay and promptly. * All relevant information will be kept as confidential. * Explain to employees what disciplinary action might be taken and let them know about the authority disciplinary action decision will be act by...
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...the decreased sales and number of stores, and the influence of Pelz, the CEO is faced with the options to succumb to the demands of Pelz to sell the company or continue with the comprehensive Revitalization Plan. IV. STATEMENT OF THE OBJECTIVES To be able to increase market share and increase income by 30% within 5 years by growing franchise ownership and controlling operating costs with heightened commitment to quality products and services and expanded meal and food offerings. V. AREAS OF CONSIDERATIONS Strengths Global brand 1st to offer 99 cent value menu Number 1 in consumer taste tests and brand awareness Healthier food selections 122 new restaurant in North America Expert Management Atmosphere Better compensation package for employees Reduced labor costs Speed of service Weaknesses The fingertip in chili incident dropped the sales in 2005 Failed marketing strategy dropped sales in 2005 Last food chain to introduce new products and breakfast menu Death of Dave Thomas in 2002. Current strategy only focuses on US & Canada. Management changes Opportunities Increase in...
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...What's New This Year Publication 5101 All tax preparers, Quality Reviewers, instructors, and Site Coordinators must pass the Intake/Interview and Quality Review test. Income Virtual Currency The IRS announced that convertible virtual currencies, such as Bitcoin, would be treated as property and not as currency, thus creating immediate tax consequences for those using Bitcoins to pay for goods and services. Taxpayers having transactions in virtual currencies are out of scope for the VITA/TCE programs. Standard Deduction The standard deduction for taxpayers who do not itemize deductions on Form 1040, Schedule A, has increased. The standard deduction amounts for 2015 are: * Married Filing Jointly or Qualifying Widow(er) - $12,600 (increase of $200) * Head of Household - $9,250 (increase of $150) * Single or Married Filing Separately - $6,300 (increase of $100) Taxpayers who are 65 and Older or are Blind For 2015, the additional standard deduction for taxpayers who are 65 and older or blind is: * Single or Head of Household - $1,550 (no change) Married taxpayers - $1,250 (increase of $50) Personal ExemptionsThe amount a taxpayer can deduct for each exemption increased to $4,000 for 2015. | Standard Mileage For 2015, the following rates are in effect: * 57.5 cents per mile for business miles driven * 23 cents per mile driven for medical or moving purposes 14 cents per mile driven in service of charitable organizations (no change) ...
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...1) Which criteria need to be met by the claimant in a case involving wrongful dismissal? INTRODUCTION According to Ashgar Ali Mohamed (2004), "At common law, the employer-employee relationship is contractual; the employer may terminate the contract of employment by serving appropriate notice, as expressed in the contract or implied reasonable notice. Wrongful dismissal occurs when the employee is dismissed without notice or with inadequate notice". SUPPORTING CASE: MASSEY V CROWN LIFE INSURANCE CO (1978) According to HM Revenue and Customs UK, "Mr. Massey was the manager of a branch of the Crown Life Insurance Company of Canada from 1971 until 1973; he was an employee of the company. It paid him wages from which it deducted tax, NICs and graduated pension contributions. He also made contributions to the firm’s pension scheme". Moreover, in 1973 by mutual consent "the company engaged him on a self-employed basis under a new agreement. His duties under this new agreement were almost identical to those under his previous contract of service. The only real differences were that he no longer made pension contributions and the company paid him gross without any deductions for tax etc. This arrangement continued until 1975 when the company dismissed him. Mr. Massey then claimed unfair dismissal". DECISION OF THE CASE The Industrial Tribunal decided that Mr. Massey was not employed under a contract of service and therefore could not claim unfair dismissal. The EAT upheld...
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...quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended to give patients more access to health care without any restrictions as in the past that were imposed by the Health Care Industry and at a reasonable cost capping the administrative costs to the industry to no more than 20% of what the insurance costs. These restrictions were based on how much a person paid for health insurance, the...
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...The AACC incorporates Psychology and theology to develop and expand effective Christian counselors. The American Counseling Association (ACA) Code of Ethics was designed to raise the bar of the counseling profession. The primary focus of the ACA Code of Ethics is based on a worldly perspective. The AACC and ACA share several similarities and differences between the two Codes of Ethics as the AACC offers the Christian perspective, while the ACA provides the worldly point of view. These two viewpoints influence ethical values and decisions as counselors. Section I: General comparison of the two codes The American Association of Christian Counselors (AACC) and American Counseling Association (ACA) share the same goal of helping clients and ultimately striving to be phenomenal professional counselors. The American Association of Christian Counselors was created in 2004, and the American Counseling Association was established in 2005. The primary purpose of the AACC Code of Ethics is to aid and encourage the members to effectively provide extraordinary Christian counseling to their clients. In doing this, “the primary goals of the AACC- to bring honor to Jesus Christ and his church, promote excellence in Christian counseling, and bring unity to Christian counselors” (AACC Code of Ethics, 2004) can be accomplished. The ACA Code of Ethics is explained through five key purposes. These purposes include ethical responsibilities, maintaining the mission, establishes...
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...residential. Hence, they can expand services beyond the town and its adjoining area. -Educational institution as additional target -Ventures to other financial services products -Probable partnership Weaknesses -limited branches to serve customers -high turnover rate for women (under clerical/teller) -profit in some months was very low -limited target market Threats - competitive conditions in the banking industry - merger/acquisition/closure of town and country banks to large -employees turnover averaged 35% per year in the last three years IV. ASSUMPTIONS None V. ALTERNATIVE COURSES OF ACTION ACA No. 1 (Develop alliance) Grow by expansion/acquisition/partnership with other local banks 2 (Grow organically) Optimize allocation of capital 3 Improve efficiency and create added value for customers VI. ANALYSIS ACA No. ADVANTAGE(S) DISADVANTAGE(S) 1 -stronger ties -partnership can create an avenue for innovative services -capture value and recover...
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...of the Case Based on the given scenario, the following are the facts of the case bearing on the problem: a. Susan Benson * Hired as supervisor of the employee benefits section in a city government personnel department six (6) months ago * As supervisor, she has the authority and the legitimate power over the employees of the benefits section * She has had great difficulty getting employees to follow her orders which indicates that Ms. Benson is ineffective in leading her section * Had lost the respect of the personnel manager and that she can’t control the employees in her section b. Benefits section * Handles employee insurance, life insurance, retirement benefits, educational benefits, and worker compensation claims * It is composed of six (6) employees who have worked together for the past five (5) years and who have become a very close-knit cohesive group (strong task structure) who cooperate well with other city employees * Has an excellent reputation based on the few complaints it receives on how it handles employee benefits c. Sharon Garcia * The informal leader of the benefits section whom other employees look up for advice and assistance * As an informal leader, she has both power and influence, though she has no authority * Told other employees that Ms Benson did not understand the new procedures during the training session on the new procedures for processing health insurance claims * Advised the...
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...employment relationship i.e. due to cuts there be maybe redundancies, therefore leading to loss of jobs. 2. Another external factor that might impact on the employment relationship is the social impact. Organisations must be able to meet the demands of the business whilst managing the needs of their employees who due to social factors such as family etc. means organisations have to offer incentives such as flexible working, home-working or job sharing and other benefits such as holidays etc. in order remain competitive in order to attract candidates. Internal factors: 1. An internal factor that might impact on the employment relationship is the employment contract. ACAS notes: “A contract of employment is an agreement between an employer and employee and is the basis of the employment relationship”. ACAS also notes “A contract of employment will contain some terms such as: Statutory terms- “imposed, varied or regulated by law such as the minimum statutory notice period”. Express terms: “these are terms that have been specifically mentioned, either in writing or orally, and have been agreed by both employer and employee”. Implied terms: “these are terms that are not set out in writing or agreed orally, but may be too obvious to need to be recorded. An example of this may be that the employee will not steal from the employer”. Incorporated terms: are things that have been put into contracts from work rules or...
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...CASE 8: MCDONALD PHILIPPINES THE JOURNEY OF GEORGE YANG Known as the McDonaldman of the Philippines, George Yang (Gyang) started his journey after graduation from Wharton School of Finance, University of Pennsylvania in 1964. Back in Manila, he settled in to start a family and began a two-year juggling act of working as a marketing manager of a tobacco company (Bataan Cigarettes), consulting for a manufacturing company, and selling a variety of things on the side. These included insurance, nicotine guards (TAR-OFF), imported cosmetics, and lecturing Financial Management and Marketing subjects at his alma mater, De La Salle University. Kristin was very supportive of George. She acted as sales manager of the Tar-Off that George invented, even when walking down streets to offer the filters on consignment. At the prodding of Don Amado Araneta, Kristin started a nameless counter in supermarkets offering jewelries to young working mothers, which later evolved into a more sophisticated brand, Kristin Jewelry, which carried fine jewelry for upscale clients. George worked behind the scene, understanding market behavior, monitoring fluctuations in the price of gold in the global markets, and running the factory of 50 workers. Gyang, inspired by the success of the jewelry business, thought of something on a larger scale. He had been reading reports on a growing American fast-food chain called McDonald’s, which was being extolled in business reviews in many other countries. He wrote...
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...legislative reform in American history relating to health care. The impact to our economy on many levels of scale and our constitutional rights are all being questioned and debated without a definitive answer to long term reality of its implications. Reform is necessitous to the continuance of providing care, controlling fraudulent activities and waste, as well as, exploring new innovative ways to maintain a high level of quality services within the legalities of our legislative branch. The balance of these aspects have been challenging and perplexing in materializing the reforms into fruition. The concentration during reform has been on quantity of the insured population, effects on businesses as in tax benefits, taxation, and the CMS. The ACA, legislatively is in the beginning stages to reform health care. Thus far the application of reform are in disarray as it is on the operating table cut wide open and bleeding out, without a surgeon in the room. The complexity has the medical society and American constituents confused and anxious of its impact....
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...simply increase administrative pressures on the smallest of businesses. One argument against this is, family friendly regulations help to create a working environment that is flexible, fair and attractive for employees. There are over 80 types of employment law claims that can be brought to a tribunal, 186,300 claims were accepted by employment tribunals during 2011-12 this being a 15% fall on the number received the previous year and 21% lower than in 2009-10. (EAT statistics, 2011-12). The introduction of claimant fees by the government in July 2013 (Appendix ) alongside increased emphasis on mediation plus the economic climate and employees’ reluctance to challenge employers all have an impact on these figures. Early conciliation via acas is compulsory prior to lodging a tribunal...
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... Medical malpractice reform proponents argue that tort reforms—such as limiting malpractice awards, tightening statutes of limitations for filing claims, increasing expert witness standards, and screening cases before they go to trial—not only reduce overall medical care spending but also increase access to care (NCSL, 2011). Strategies to improve malpractice claims include limiting awards; placing stricter limits on statutes of limitations; establishing minimum qualifications for expert witnesses; periodic payment provisions; modified Collateral Source Rules; Attorney Contingent fee limits; and other medical Liability related reforms such as patient compensations/injury funds, pre-trial alternative dispute resolution and screening panels, frivolous lawsuit penalties On March 23, 2010, when President Obama signed the ACA into law, only six pages in over 2000 page document related to medical liability reform. The Affordable Care Act authorizes states to explore alternatives to current tort litigation to resolve malpractice...
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...interventional cardiologists. My whole family was worried, and the cardiologist who treated my mother too, because these procedures were necessary to prevent a future heart attack. Unfortunately, several days after my mother leaved the hospital, she returned to an emergency room with a strong chest pain. After that, the procedures were performed. Thankfully, my mother was successfully recovered. This is an example that having health insurance does not ensure access to health services. Unfortunately, many people who have a health insurance do not receive health services for which they are paying. It is important to stay protected in order to reduce costs in case of accidental situations, or just for routine checkups. In the case of ACA, insured persons should have access to basic health services in the same way as those insured with private insurance have them. Then, why many people who have...
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