Financing and Structuring Health Care Nicole Bryant Kevin Williams Health Services Organization and Management HSA 500 Fall 2010 October 31, 2010 1) Identify and describe at least three main types of health insurance in the U.S. The main types of health insurance are voluntary health insurance, social health insurance, and welfare medicine. In voluntary insurance or private health insurance in the United States can be subdivided in to three distinct categories: (1) Blue Cross
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1. Identify 8 managed care contracting terms: a. Administrative services only (ASO): Usually associated with self-funded groups, this is when an insurance company, HMO, or third-party administrator provides claims-processing services, but the employer pays the claim costs. Administrative services usually include billing, enrollment, and coordination of benefits, payment check processing, subrogation, fraud investigation, and network rental. b. Coordination of benefits (COB): Provision
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providers will face in the near future. We will examine our current systems and how they evolved through time and what they may be in the future. We have reviewed articles from the Medical Billing and Coding Association, the Department of Human and Health Services as well as the Office of the Inspector General. We will review the different types of insurance, how they each affect the process of medical coding and billing and then see what the future will be. Finally we will review what steps we have taken
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Gonzales, Maricara Patricia Jan B. July 7, 2015 English 3 Passing the Mental Health Act: A Vital Step towards Addressing the Higher Incidence of Depression in Women in the Philippines What happens when it hurts too much to live? Unlike temporary bouts of sadness, depression is a constant lingering feeling that can propel people to their death (Tracy, 2013). It can develop in anyone, regardless of race, culture, social class, age, or gender. However, across virtually all cultures
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Structuring Health Care Detra Smith Dr. Cynthia Davis HSA 500 October 31, 2011 The three main types of health insurance in the United States are voluntary health insurance, social health insurance, and public welfare health care programs. Voluntary health insurance (VHI) is private insurance made up of Blue Cross and Blue Shield, private or commercial insurance companies, and health maintenance organizations. Private health insurance was a source of financing for personal health care expenditures
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System Evolution Celia A Langlinais HCI/500 Week 3 05/14/2012 Systems Evolution Health Management Organizations (HMO) is a prepaid health care coverage. In an HMO health care coverage plan, the patient picks primary care physicians (PCP) who takes complete care of the patients’ medical needs. This PCP has a contract with HMO and has to follow HMO regulations. In some cases, which the PCP is not qualified to treat a specific medical problem, so the patient
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History Aetna, Inc. is an American health insurance company, which is the direct descendant of Aetna (Fire) Insurance Company, of Hartford, Connecticut. In 1850 Aetna began operation of an Annuity Fund and the company would soon to be known as Aetna Life Insurance Company. In 1899 Aetna became one of the first publicly held insurance companies to enter the health insurance field. Since then Aetna has become committed to providing access to cost-effective health care of the highest possible standard
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years after opening. Overall strategy: Preventive health care, minor emergency care, referral for acute and chronic health care problems, specialized employer services. Market penetration. Target market: The potential users of DHC consist of 11,663 office workers, Young people or upwardly mobile families from the cities. Inner city residents who have a higher median age and higher incidence of Medicare coverage. Product objective: to offer service to patients that needs treatment (physical exams
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Health Insurance Basics: Key Words and Phrases You Need to Know Shopping for insurance can be confusing, but the new health care law makes it easier to understand. This simple guide will help you make smarter choices for you and your family. KEY WORDS AND PHRASES What You Pay There are different costs associated with health insurance. When choosing a plan, it is important to take into account all of the costs for each plan. Premium The money you pay the insurance company
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Identify and describe the three main types of health insurance in the U.S. Voluntary (Public) Health Insurance: This is provided through one’s employment. There are three sub categories: Blue Cross and Blue Shield, private insurance companies and health maintenance organizations. According to the text, “the respective sponsorships of these types may be providers, third parties, and patients or independent carriers”. Social Health Insurance: Associated with previous employment. Two types programs
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