Financing of Health Care Teonna Smalls HCS/440 Donna Lupinacci 05/12/2012 Introduction HMO’s and enrollees are two important players in the world of health care. Due to uncertainty on the supply and demand, moral hazard, and adverse selection, decision making for HMO’s more complex. The simulation provided me the decision making tools necessary, when making an economic decision for an HMO. Health care can be seen as a good that consumers demand and managed care firms are considered to be
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Outpatient Services and Primary Care Ambulatory care Outpatient services, including (1) care rendered to patients who come to physicians’ offices, outpatient departments of hospitals, and health centers to receive care; (2) outpatient services intended to serve the surrounding community (community medicine); and (3) certain services that are transported to the patient. Community-oriented primary care Health care that incorporates the elements of good primary care delivery and adds a population-based
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The Impact of Micro-Health Insurance on the Access to Health Care Service among the Informal Sector Employee in Nigeria. Saheed O. Olayiwola, Crescent University, Abeokuta. E-Mali: saheedolayiwola@yahoo.com ABSTRACT Health care insurance was formally launched in Nigeria in 2005 as a mechanism of catering of funding health care. The scheme which was designed along three streams of programmes vis: Formal Sector Programme (FSP), Informal Sector
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is a regional health maintenance organization (HMO) that provides insurance and health care services to enrollees through its network of doctors and hospitals. Castor Collins offers several different insurance plans that would be beneficial to the employees of Constructit. The insurance plans offered vary according to services provided, cost of annual premium to employees, and utilization of services. Castor Collins has the ability to tailor an insurance plan that meets the health needs of Constructit
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Health Care Reform Lisa Juarez HCS 235 February 4, 2014 Holly O'Dell Health Care Reform The health care reform is an ongoing debate. We have heard it called to Obama Care, but it really is the Affordable Care Act. It was signed into law in 2010. The idea behind the Affordable Care Act was to provide affordable health insurance to every American. The law contains thousands of pages of insurance and health care reforms. All are designed to make it easier and more affordable for every American
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Introduction In Health care, quality and utilization management have been forced into the spotlight by an insatiable demand for technologically advancing services, a legal system that compels physician to order unnecessary services, and the costs that are soaring higher than ever. The inconsistent use, overuse, misuse or even under used healthcare services has created inefficiencies and value concerns that demand oversight to ensure the best care is received while utilizing resources in the most
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Health Care Utilization Paper Michelle Stokes HSC/235 October 30, 2014 DR. Rose Fitchett Health Care Utilization Paper Option Chosen: 2 John Q In this paper I will be discuss John Q. and Medicaid. John recently moved into a rural community and works a full time job. John is eligible for Medicaid due to his low income and needs to see a doctor since John has high blood pressure and recently his father had a heart attack. John has local doctors but none of them except Medicaid and the closest
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How to reduce utilization costs and to improve patient health outcomes? The following report will outline a strategy that can be used to improve patient health outcomes and reduce utilization costs. Increasing pressure to control health care a cost necessitates that limited healthcare resources be used equitably and judiciously. Healthcare expenditures must be correlated with high quality and efficiency in the delivery of services to improve health outcomes. This requires understanding the benefits
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Health Care Utilization Being a benefactor of Medicaid could be a health care benefit that does not support the recipient. In some cases it could do more harm than good. When it comes to John Q Medicaid was not a help when he needed it the most. Factors Affecting Utilization John Q. Dealt with an illness that would require him to have easy access to his primary care, or a hospital that would accept his health care insurance. The utilization of his health care coverage being
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Health care Utilization Cheryl Styles HCS/235 August 10th, 2015 Cyndie Miculan Healthcare Reform and Utilization The passage of the Patient Protection and Affordable Care Act (PPACA) has prompted considerable debate. While some believe that the Act will eventually serve as a foundation for the destruction of the healthcare system, others believe that the Act does not provide enough coverage to truly reform the system. In an effort to better understand the implications of reform to the healthcare
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