...Institute (HRMI) Edexcel BTEC HND in Business – HRM – Batch 1/3 /M/E Unit No/Title: Unit 5/ Aspect of Contract and Negligence for Business Unit Code: Y/601/0563 Assignment No: 1 / 1 Assignment Title: Contracts and Negligence Law Unit Outcomes/Grade Descriptors Covered: |LO1.1 | |………………………………………………………….. | |……………………………………………. | |Registration Number | |Signature | |LO1 Understand the essential element of a valid contract in a business context |Grading |Assessment Type | | |(P/M/D) | | |LO 1.1 | | |Individual | | |Explain the importance of the essential elements required for the formation of a |P1.1 | | | |valid contract. | | ...
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...customer satisfaction BUSINESS RESULTS ● Greater business continuity ● Managed network service through Cisco partner EXECUTIVE SUMMARY Managed Market Resources ● Industry: Healthcare ● Location: Mt. Olive, New Jersey ● Number of Employees: 16 BUSINESS CHALLENGE ● Cost-effectively maintain network availability without internal IT support ● Provide clients with on-demand access to consultants SERVICES SOLUTION Customer Case Study Consulting Firm Benefits from Smart Services Managed Market Resources get proactive, cost-effective care from Cisco partner Alliant Technologies Business Challenge Managed Market Resources (MMR) is a small, full-service consulting company to pharmaceutical companies who need help navigating the large, regulated, and demanding world of managed market healthcare. Their clients are pharmaceutical and biopharmaceutical companies, and their specialty is delivering comprehensive solutions for cost-effectively reimbursing patients for a variety of drugs. The work involves extensive market research, strategic planning, and close collaboration with clients to thoroughly understand their priorities and business challenges. In 2006, MMR had 40 employees staffing offices in Chesapeake, Virginia and Mt. Olive, New Jersey. Two full-time IT professionals managed a Cisco network that included the Cisco® Unified Communications IP telephony...
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...how? 5 Bibliography 7 Appendix 8 Executive Summary Hospital are required to bill for individual items or services provided to a patient. Patients admitted to hospitals are charged for their room, supplies, drugs, labs, x-rays, operating room time and other care. It is important to know that hospitals submit a bill to the insurance company for all the services provided to the patient and the payor determines the amount owed to the hospital based upon the insurance company’s contract with the hospital for specific services [ (Henry Ford Health) ]. Introduction The purpose of this case study is to understand the relationship between hospital charges for certain physicians and insurance carriers. Cost finding and cost analysis are the techniques of allocating data that we were provided as part of the case study. The information that we are going to use to analyze cost between Commercial Care and Manage Care insurance includes: * DAYS the number of days the patient spent in the hospital. * CHRGS is the total expenses charged to that patient. * PHYS is a code identifying the physician. * PAYOR indicates the type of insurance the patient carried. The fundamental items for this study focus on financial data related to normal...
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...health care coverage and services. Within the past thirty to forty years, the scope and cost of health care coverage and services has drastically changed, altering the manner in which health care was previously managed. There are several factors that have affected the cost of health care coverage over the course of the past two to three decades. One of these factors is the introduction and rapidly increasing enrollment in managed health care insurance plans. Managed care health insurance plans can, in most cases, help to alleviate the rising costs of effective medical coverage. Another important factor that has affected health care costs is the invention and implementation of new medical technologies. As prominent researchers and economic analysts have discovered, there is a distinct and direct correlat! ion between advancing medical technologies and rising health care costs. Medical innovation has been proven time and again to be an important determinant of health care cost growth. It would appear that managed care health insurance plans, which attempt to lower health care costs, and highly expensive new medical innovations and procedures are at cross purposes, pulling against one another in very different directions. Market-level comparisons have found the cost growth of health care in markets with greater managed care penetration to be generally slower than that of non-managed care health insurance markets. However, managed care...
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...is a chief importance in a household and country what a person chooses and how it may operate properly. Economics includes the study of labor, land, and investments, of money, income and production, and of taxes and government costs. “Economists seek to measure well-being, to learn how well-being may increase over time, and to evaluate the well-being of the rich and the poor. The most famous book in economics is the Inquiry into the Nature and Causes of The Wealth of Nations written by Adam Smith, and published in 1776 in Scotland. ("What is economics,”) With healthcare increasing in the country and insurance agencies providing consumers with the proper coverage for care these conditions are becoming a stress. But within this tension agencies are finding ways to merge and accommodate all aspects of consumers need financially and providing the care needed. According to the “Competitive Effects Analyses of Hospital Mergers” over the past decade, there have been more than 500 hospital transactions and realignment is expected to continue in 2014 and beyond. (Guerin- Calvert, 2014) Economically to control the flow, smaller independent hospitals are being advised to affiliate themselves with larger facilities to better contain their businesses as well as their patients. Innermost concern that patients have is the cost of coverage for the care that will be provided to them. And the trends in network to diminish a patient and their finances benefits are designed with lower...
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...Critically discuss: a) Why Cambridge Hospital Community Health Network embarked on the ABC study? There are two main reasons why the Cambridge Hospital Community Health Network (the Network) embarked on the Activity Based Costing (ABC) study. Firstly, the Network needed to gain a better understanding of its unit-of-service costs, which had been rising at a rate of 10% per year. In fact it had recently been rated the third-highest cost hospital in the state of Massachusetts. Being a high cost provider could make the Network uncompetitive for Medicaid and other public contracts. Secondly, the Network’s new operating budget required a $14 million reduction, which represented 15% of the total hospital network’s operating budget, in expenditures during the next two fiscal years. This was largely due to the downward pressure on hospital revenues by the government reform and managed care forced providers to cope with conditions that were constantly changing, while continuing to provide quality health care services in a time of intense competition. The Network's traditional method of analysing costs is the Medicare step-down costing system. It gave little information about the cost at the unit of service level. It gave only aggregate costing information (i.e. information about the departmental or global costs) but it does not provide the costs at the patient or procedure level that is needed in order to push cost reduction and also price their services competitively...
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...Course Project Anise Hutcherson Approaches to Disease Management in Managed Care DeVry University `12/11/15 Table of Contents 1. Introduction…………………………………………………………….. Page 3 2. Background…………………………………………………………….. Page 4 3. The Challenges and Problems Associated with Disease Management…….. Page 6 4. Review of the Research and Literature…………………………………… Page 8 5. Challenges/Problems Analysis with Disease Management……………….... Page 9 6. Recommend Solutions of Improvements in Disease Management…………..Page 10 7. Implementation of Solutions in Disease Management in Managed Care Industry..Page 11 8. Justification………………………………………………………………… Page 12 9. Summary and Conclusion…………………………………………………...Page 14 10. Works Cited-References………………………………………………….. Page 16 Introduction It is very well known how most physicians or healthcare facilities and organizations handle diseases in our society in my opinion. Managed care for diseases are mostly not focused on, it is for large populations. But typically physicians do try to focus on individuals however once you throw MCO in the mix it becomes similar to a farmer caring for cattle which I hate to say. And I am very much passionate about this subject because of my experience in the very arena. Before I had a stable job with wonderful health insurance, I relied on government paid insurance for a minute and during that time I was diagnosed with Lupus which is a autoimmune disease with no cure. However...
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...| |Unit Title: |Tutor’s Name: | |Aspects of Contract and |D.K Hashani shashiprabha | |Negligence for Business | | |Assignment Title & Number: |Learning Outcomes Covered: |Assessment Criteria Covered: | | |Outcome1: | | | |Understand the essential |See the following “Notes to | | |elements of a valid contract |Students” the assessment | | |in a business context |criteria covered in this | | |Outcome2: |assignment. | | |Be able to apply the elements of a contract in business | | | |situations...
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...Determine whether you would incorporate and state the advantages and disadvantages of doing so. Running a health care organization should involve many people. Incorporating a vast number of multi-disciplinary specialists is required for the organization to be managed appropriately. This is helpful as it ensures that the facility has enough people with different levels of expertise and all medical fields are properly furnished with adequate personnel. This also helps patients know the health care services provided are of high quality. The additional skills and expertise is not only an asset to patients, but to the community and the organization due to being able to offer knowledge that is helpful and important in managing the health care organization. The partnerships of different health care specialist that are created within the facility encourages better use of resources and promotes higher levels of organizational excellence. (Shortel & Kalunzy, 1997) Based on the facility being multi-specialty it cannot be a sole proprietorship. A partnership exists if someone joins the proprietor and sharks in the rewards and risks. The simplest kind of partnership is a general partnership. In this arrangement the partners usually receive equal shares of profits or losses, are entitled to equal voting rights, and are personally liable for the debts of the venture (Showalter, 2012) Deciding to incorporate a medical facility can be tough. The first factor is whether you want limited...
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...MBA 5201 “The proportion of physicians in solo and two-physician practices decreased significantly from 40.7 percent to 32.5 percent between 1996-97 and 2004-05, according to a national study from the Center for Studying Health System Change (HSC). At the same time, the proportion of physicians with an ownership stake in their practice declined from 61.6 percent to 54.4 percent as more physicians opted for employment. Both of these trends away from solo and two-physician practices and toward employment were more pronounced for specialists and for older physicians” (Center for Studying Health System Change, 2007). In this case study I will examine these trends as described in the assigned article as well as in other recent literature. The study suggests that although many would have predicted that physicians would group together in multispecialty practices for convenience, the trend does not suggest this. In fact the number of providers practicing in multispecialty groups actually decreased several percent from the mid 1990’s through the mid 2000’s. The study also makes it apparent that physicians are less likely to practice independently or even in small practices with 2 or 3 docs. In addition they are less likely to own or possess ownership in their practices. Instead physicians are more likely to join mid-sized practices with 6-50 doctors of like specialty, and are less likely to own financial interest in the practice. One of the reasons for this trend could...
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...problem with health care spending. Rising health care costs are stifling economic growth, consuming increasing portions of the nation’s gross domestic product, and putting added burdens on businesses, the public sector, individuals, and families. GROSS DOMESTIC PRODUCT Health care accounts for about one-sixth of the entire economy — more than any other industry. Spending on health care totals about $2.5 trillion, 17.5% of our gross domestic product a measure of the value of all goods and services produced in the United States. That's up from 13.8% of Gross Domestic Product in 2000 and 5.2% in 1960, when health spending totaled just $27.5 billion — barely 1% of today’s level, according to the Kaiser Family Foundation, a nonpartisan health policy group. (http://usatoday30.usatoday.com/news/health/2009-06-19-health-economy) A variety of factors that has contributed to the growth in health care spending relative to the GDP. These factors include the following: • rapid development and dissemination of medical technology that expanded the treatment of disease • rising expectations about the value of health care services • government financing of health services • the nature of third-party reimbursement • the growth in the proportion of elderly • the lack of competitive forces in the health care system to increase efficiency and productivity in delivery of services , and • the misdistribution of physicians and other providers of health services HEALTH CARE LEGISLATION The...
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...| |Unit 7: Aspect of Contract and Negligence | |UNIT TITLE & CODE | | | | |STUDENT ID |CT/HNDBM/50 | |STUDENT NAME | | | | |ASSESSOR |Mr. Seevali Amithirigala | | |1 of 1 |WORD COUNT | | |ASSIGNMENT | | | | |ASSIGNMENT HANDOUT DATE |21/11/2014 |ASSIGNMENT SUBMISSION DATE | | |ASSIGNMENT REVIEW DATEs | | |ASSIGNMENT RESUBMISSION DATE |09.01.2015 | |FINAL GRADE |ORIGINAL SUBMISSION | |RESUBMISSION | | ASSESSMENT CRITERIA TO BE ASSESSED IN THIS...
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...widespread, mandatory implantation of this plan. In the conclusion I discuss an alternative approach to the cost containment issue of health care. Oregon Plan 3 Module 6: Oregon Plan The Oregon Health Plan, was a revision of Medicaid. The state of Oregon created the health plan in an effort to control cost. It was very important because it brought very important issues to light. Unfortunately, there were casualties that included a little boy named Colby Howard. Cost containment and providing medical coverage to more people were the goals of this plan. The plan that was revised so that Bill Clinton could sign it in 1993, were created by two politicians who were physicians, Dr. John Kitzhaber, who was a senator at the time, and Dr. Ralph Crashaw, who was an activities. There are many philosophical approached that can be taken to look the plan. Philosophical Approach If we look at it through consequentialism, the consequence that many sick people will not have access to life saving care, would make the plan’s decision to not cover those procedures, wrong. The classic utilitarianism approach will focus on the overall good of the plan, including how many people would have access to health care, which could alter the culture to focus on more preventative medicine, that could also save and transform the lives of many. We also have...
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...Basically primary care consists of i) medical care (family physicians/primary care doctors); ii) district care (district nurses and midwives); and iii) social care (social workers). Medical care and district care together are primary health care (PHC). Social care is organized, managed and financed by local communities and since the beginning of the 90-ties is separated from health care. Social care tasks are focusing on support of inhabitants of local communities in case of poverty and are to prevent exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation...
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...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
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