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Free research papers and essays on topics related to: managed care

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  • Managed Care - 1,383 words
    Managed Care Managed Care By Debbie Barbaroussis-Goot Regis University Dr. Ron Shaver April 16, 2001 To decide on whether or not an issue is considered ethical or moral we need the hard cold facts. Facts expose or explain what is to be decided upon - not what the outcome should be. Decisions regarding health care and mental health issues represent a major portion of ethical and moral choices. As individuals we are not always able to understand the justice, or fairness, behind the decisions supposedly based on hard cold facts. Once upon a time being a therapist was considered a calling. The images of a counselor sitting back in their comfy cushioned chairs listening to hours and hours of pati ...
    Related: care delivery, care policy, care providers, care system, health care, managed care
  • Managed Care - 1,093 words
    Managed Care Chapter 3: Types of Managed Care Organization The distinction between health care providers and health care insurers have blurred substantially 10 Years ago managed care organizations were often referred to as alternative delivery systems Managed care is now the dominant form of health insurance coverage in the United States Managed care can mean managing the provider delivery system can be equivalent in its outcomes to managing the medical care delivered to the patient Managed care may not perfectly describe this current generation of financing vehicles, it provides a convenient shorthand description for the range of alternatives to traditional indemnity health insurance ...
    Related: care delivery, care providers, care services, health care, health care services, managed care, medical care
  • Managed Care - 1,142 words
    ... gether on managed care issues, including utilization management and quality improvement PHOs may also offer advantages to some managed care organizations: PHOs can provide a means of rapidly establishing a panel of participating physicians and hospitals PHOs can provide a means of reducing operating costs The lack of success of PHOs are: PHOs offer little or no benefit for enrolling large panels of participating physicians and hospitals PHOs, as of right now, dont assume financial risk for delivering health services by accepting capitation-based payments HMO MODELS The five commonly recognized models of HMOs are: 1) Staff 2) Group 3) Network 4) IPA 5) Direct contact The major dif ...
    Related: care facilities, health care, managed care, primary care, health services
  • Changes In Health Care - 1,459 words
    Changes In Health Care In today's society, public perception of the U.S. health care system is widespread. Many people are satisfied with the advancements that we have made in the medical community. Less than one hundred years ago, health care was non-existent. Today, it is one of the leading industries in our country and worldwide. However, many people criticize where health care is going. They believe that doctors are giving up quality care and replacing it with the quantity served. This paper will describe the changes that have occurred and are occurring in the US health care system. Beginning with the health care environment, we will see that although we are downsizing some subdivisions, ...
    Related: care facilities, care system, community health, health, health care, health insurance, hospital care
  • Concern Of The Health Care System - 492 words
    Concern of the Health Care System Throughout the United States there has been an overwhelming concern as to the status of the present health care system. Approximately 100,000 people lose their health insurance each month. Unfortunately the present system does little to nothing to aid these people. It is for this reason that various managed health care plans have come into existence and use. Managed health care is a system by which an outside body, such as a state or federal government places regulations on the health care process. St. Luke/ Roosevelt Hospital in Manhattan is currently operating under a managed health care plan. Vickie Powell, In-patient Pharmacy Supervisor at St. Luke/ Roos ...
    Related: care plan, care system, health, health care, health insurance, managed care, universal health
  • Diagnosis And Treatment Of Depression In The Elderly - 1,185 words
    ... nitive therapy on elderly depressed patients. In addition to the success, "the US National Institute of Health consensus conference highlighted the need for continued development in this area (January 1997)." The types of psychological treatments used on the elderly are specifically designed for aged persons. The central idea in cognitive therapy is to take the negative self-opinion and teach ways to reverse this opinion. Validation and reminiscence are examples of techniques used to get the patient to reflect on the accomplishments of his or her lifetime. Hopefully, this will bring back some pleasant memories of family or other accomplishments. It also allows the patient to look at the ...
    Related: diagnosis, elderly, elderly people, elderly persons, treating depression, treatment of depression, treatment options
  • Economics: Proposal To Cut The Budget Deficit - 426 words
    Economics: Proposal to Cut the Budget Deficit The federal budget is an explosive problem which if not acted upon soon, threatens to swallow the entire domestic income. I have placed together several decisions that create a minimal impact upon the economy, yet reduce the federal budget deficit by 2/3s. The aggregate demand curve ultimately will shift, not greatly, to the right as the economy is slightly increased throughout my proposal. To accomplish this feat, the plan to be presented to Congress in January will consist of many revenue increases and some spending increases and decreases. This plan will not decrease the entire deficit to a positive budget because the impacts of that kind of c ...
    Related: budget, budget deficit, deficit, federal budget, proposal
  • Government - 2,325 words
    GOVERNMENT Government can not exactly be described as an industry segment but it has significant effect on the rest of the industry in every segment. Due to this big effect, we agreed that the two major effects of the government come in the form of Medicare and Medicaid. These two programs effect millions of people and eventually the health industry overall. Analyzing these programs that are very complex and intertwined with each other was a complex job. Even though we tried our best to separate them as two different segments, many problems are similar. We believe this information is essential while analyzing the rest of the industry. MEDICARE AND MEDICAID A) MEDICARE HISTORICAL CONTEXT Medi ...
    Related: federal government, cost containment, short term, health maintenance, discretionary
  • Government - 2,286 words
    ... ical examinations at recommended intervals than other children. Only 14 percent of Medicaid beneficiaries report dissatisfaction with the health care services they received, compared to 30 percent for the uninsured and 13 percent for those with private insurance. Unlike Medicare and private insurance policies, Medicaid generally does not require beneficiaries to pay premiums, deductibles, co-payments, or other out-of-pocket (so-called cost-sharing) fees that might discourage them from seeking treatment that they need. Because their incomes are so low, such charges would discourage many from visiting doctors or other health care providers. Most state Medicaid programs have made progress i ...
    Related: federal government, medicaid eligibility, managed care, fiscal year, fiscal
  • Healthcare History - 998 words
    Healthcare History The historic payment system for reimbursing hospitals both by insurers and by Medicare has been Retrospective Cost Based Reimbursement(RCBR). This system of reimbursement encourages hospitals to over charge in order to cover the costs of the uninsured who utilize the hospital. Charges have continued to rise year after year eventually putting the employers at a point where they could no longer afford the payments. For physician reimbursements, both insurers and Medicare employed the Usual and Customary(U+C) approach to reimbursement. This practice, which averaged the charges for a procedure in a region, also encourages doctors to over-charge in order to raise the average am ...
    Related: healthcare, history, managed care, private sector, guarantee
  • Hippa Effects Of Health Insurance - 1,253 words
    ... ity in the event of a security incident. The damage control procedures should also include: a disaster recovery plan, emergency mode operations, equipment control, an organization security plan, procedures for verifying authorization prior to physical access, maintenance records, need-to-know procedures for personnel access, and sign-in procedures for outside (contract) vendors. Security Management Process Health care operators are required to establish risk reduction security policies to insure accountability, prevention, containment, and correction of security breaches including risk analysis, risk management, and sanction policies. Additional measures to protect sensitive data include ...
    Related: department of health and human services, health, health care, health care industry, health information, health insurance, insurance
  • Network Design And Implementation Solution - 3,002 words
    Network Design and Implementation Solution Table of Contents 1. Executive Summary 1.1. Purpose of the Project 3 1.2. Strategic Recommendation 3 1.3. Implementation Consideration 3 1.4. Benefits of the Solution 4 2. Designing Requirements 2.1. Existing Network 5 2.2. Network Requirements 5 3. Design Solution 3.1. Proposed Network Topology 6 3.2. Hardware and Media Recommendation for the LAN 6 3.3. Hardware and Media Recommendation for the WAN 7 3.4. Network Layer Addressing and Naming Model 8 3.5. Routing and Bridging Protocols Recommendation for the Network 9 3.6. Software Features Provisioned for the Network 9 3.7. Network Management Strategy 10 4. Summary 4.1. Benefits of Working with Cisc ...
    Related: business network, implementation, network, network design, network layer, network management, network security
  • Problems With Hmos - 1,399 words
    Problems With Hmo's Many employees must designate a health plan through their employer. These days, as HMOs (health maintenance organizations) and managed care plans continue to proliferate, that means a choice between bad and worse. As employees line up in the lunch-room for a process called open enrollment, they may be surprised to learn that managed care rates have gone up again. The mirage that managed care is cheaper care is finally fading. And, for the first time in years, employees may also have the promise of free choice in medicine in the form of a new method of financing health care. Consumers are already aware of horror stories involving HMOs, but cheap rates persuaded many that ...
    Related: hmos, wall street journal, health plans, patient care, market
  • Reinsurance Business - 2,481 words
    Reinsurance Business QUOTA SHARE REINSURANCE AGREEMENT DWVD NO. 900804 for BASIC COLLEGE ACCIDENT AND SICKNESS MEDICAL EXPENSE INSURANCE (hereinafter referred to as the Agreement) made and entered into by GERBER LIFE INSURANCE COMPANY White Plains, NY (hereinafter referred to as the Company) and PHOENIX HOME LIFE MUTUAL INSURANCE COMPANY Enfield, CT (hereinafter referred to as the Reinsurer) EFFECTIVE: January 1, 1999 - December 31, 1999 Table of Contents ARTICLE I PARTIES TO AGREEMENT 1 ARTICLE II BASIS OF REINSURANCE 2 ARTICLE III RETENTION AND LIMIT 3 ARTICLE IV INURING REINSURANCE 4 ARTICLE V FACULTATIVE REINSURANCE 5 ARTICLE VI - EXCLUSIONS 6 ARTICLE VII EFFECTIVE DATE AND DURATIO ...
    Related: insurance company, managed care, acquired immune deficiency syndrome, losses, occurring
  • Right To Die - 1,491 words
    Right To Die The Right to Die, Physician-Assisted Suicide 6/3/99 History I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect -- The Hippocratic Oath Physician-Assisted suicide is one of the most controversial issues in our society today. During the 1990's, assisted suicide has become the subject of public debate and legislative action across the nation. Even the U.S Supreme Court has been involved in critical decisions involving the legalization of Physician-assisted suicide. These matters call into question the ethical standards and legal bases for all Doctors and Health Care Providers. The American Heritage Dictionary defines euthanasia ...
    Related: colon cancer, white paper, doctor assisted suicide, physician-assisted, palliative
  • Spiral Ct Lung Screening - 1,671 words
    SPIRAL CT LUNG SCREENING AT DESERT RADIOLOGISTS By Linda Robert Marilyn Raquel Mike MKT 438 Instructor: Kelly Wood July 19, 2000 HISTORY OF DETECTING LUNG CANCER Lung cancer affects more than 170,000 men and women each year. Currently, there isnt a practical or definitive screening method for detecting this disease. Historically, chest x-rays were used to detect cancer when patients presented symptoms. Though chest x-rays can pick up cancerous lesions, it has not been recommended as a routine annual screening tool because it often detects the disease too late when cure is difficult. By the time lung cancer is large enough to be visible on chest x-rays, it is often advanced and may have alrea ...
    Related: lung, lung cancer, screening, spiral, health care
  • The Problems With Hmos - 1,459 words
    The Problems With Hmos Sarah Cay Bradley English 320 May 20, 1999 The Problems With HMOs It was no surprise when I interviewed my English class about HMOs, that out of 13 students, seven currently having HMO coverage, 77% felt HMO healthcare inferior to traditional insurance. This group closely represents the U.S. population, as HMOs have become practically synonymous with health care and the idea that Americans are no longer receiving the quality care they received from unmanaged plans. Managed care plans have succeeded in dramatically cutting the rate at which medical spending in the United States has been growing. Does it matter that 100 years after Lincoln freed the slaves that we have f ...
    Related: hmos, main problem, general public, marketing campaign, patients
  • The Problems With Hmos - 1,485 words
    ... h care for ten hours each day (Cohn 6). Shortly thereafter, when the assigned nurse was off-duty, there were sudden complications, and the fetus died (Cohn 6). If this was not tragic enough, Ms. Corcoran was then informed that she could not file a suit for damages because of the 1974 Employment Retirement Income Security Act, a federal health benefit regulation which prohibits the filing of pain and suffering lawsuits (Cohn 6). Do HMO members have adequate rights? Unfortunately, in 1998 the House of Representatives rejected a bill that would allow patients or their estates to sue HMOs and other insurers for denial of treatment. But there is much controversy over this issue and several pe ...
    Related: hmos, retirement income, house of representatives, code of ethics, coverage
  • Universal Product Code - 1,385 words
    ... package from point A to point B. A smart package is a package that has a bar code on its label and the United Parcel Service hubs scanners are able to read them and then sort the package accordingly, claimed Hub 2000 PSG Manager, Mark Casseday (Video). If the received package does not have a bar coded label, there are employees who enter the labels information into a computer and the computer creates a bar code label. This new label is machine and human readable. After the label is affixed to the package it is reentered into the system. After reading the packages label, the system uses an arm on the conveyor belt to push the package to the conveyor belt that goes to the truck for delive ...
    Related: universal product, personal interview, project manager, neural networks, objectives
  • University Of Central Oklahoma - 1,861 words
    ... t or patient, the nurse acts to promote, maintain, or restore the health of the person; wellness is the goal. A collegial collaborative of relationship with other health professionals who share a mission and a common data base furthers the practice of nursing. Guided by a humanitarian, ethical principles, the nurse practices in a personal, nurturing, and protective manner that promotes health in all ways. The nurse may be a generalist or a specialist and, as a professional, is ethnically and legally accountable for the nursing activities performed and for the actions of others to whom the nurse has delegated responsibility" (Mosbys Medical & Nursing Dictionary, 1996). Questionnaire: A wr ...
    Related: oklahoma, moral reasoning, health care professionals, moral development, piaget's
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