This website uses cookies to ensure you have the best experience. Learn more

Week 7 Paper

4866 words - 20 pages

HSM 543

Health Services Finance

Spring 2013

Trends Toward the Innovations of Integrated Healthcare Service Systems

Abstract

The healthcare industry is a large and dynamic sector with many unique characteristics. It includes hospitals, health systems, ambulatory clinics, medical group practices, and other organizations providing health-care services. Business and leaders must be well equipped in traditional management knowledge and practices to manage the unique aspects of the health-services industry. The success of the new Health Care Reform depends on the cost, types of coverage and technological advances. Careful elevation and ...view middle of the document...

In the 1920s, we had great advancements in medical technology. In the 1920s, these advancements spread to civilian hospitals around the country but also led to people struggling to deal with growing medical costs. While the American Medical Association (AMA) opposed any government role in healthcare, physicians started realizing that more and more Americans were unable to meet their medical expenses. “The collapse of the stock market and Great Depression created tremendous new economic challenges and high healthcare costs.” (HNN's History of Healthcare Reform).

Invention of Government Insurance – Blue Cross Blue Shield

The Blue Cross Blue Shield Association is a federation of separate health insurance organizations and companies in the United States. Blue Cross was the name used by an association of health insurance plans throughout the United States. The Blue Shield was used by employers in the Pacific Northwest region to provide medical care by paying monthly fees to medical service bureaus. Slowly, the Blue Cross plans became popular among people and hospitals started offering joint regional plans to reach out to most of people at regional level. It led to the appearance of two distinct models of providing and paying for health care. The first of these were early forms of what we now call a health maintenance organization (HMO). The other was the appearance of the first Blue Cross and Blue Shield (BCBS) plans. “The earliest BC and BS plans thus resembled other early types of prepaid care, except that they relied on providers in independent private practices rather than having dedicated delivery systems. Because they included more than one hospital or one medical group, providers could not each be paid on an equal prepayment basis, so payment was typically based on charged fees.” (Blue Cross and Blue Shield Association, 2011).

Medicare in Healthcare

In 1965, Congress passed both Medicare and Medicaid. Medicare expanded the Social Security mechanism to include health benefits, and Medicaid provided for health assistance to certain categories of low-income Americans. Later, emphasis shifted to reforms involving private enterprise or non-profits. There was also a reform to promote Health Maintenance Organizations (HMOs), which prevented the fee-for-service system by which doctors ordered expensive tests and unnecessary treatments. Health Maintenance Organizations (HMOs) administer the most common types of managed care health insurance plans. Thus, Managed care plans emerged as the main alternative to fee-for-service health insurance arrangement in which employees can go to the hospital or doctor of their choice. Democrats continued to press for expansion of direct government intervention in healthcare. In 1974, Nixon, proposed the Comprehensive Health Insurance Act, a bill that would mandate health insurance by private employers while giving individuals without coverage a federal public option.

New...

Other Essays Like Week 7 Paper

Hsa525 - Week 7 Exercises Essay

721 words - 3 pages personalized, high-quality, and compassionate care across all levels of its continuum. The CEO and his executive team agreed to meet the following week to plan the next steps. 1. Using the organization above, create a budget for the next fiscal year. Set out the details of all assumptions you needed in order to build this budget. 2. Use the “Checklist for Building a Budget” (Exhibit 15–2) and critique your own budget. Exhibit

Xcomm/285 Week 7 Assignment

1173 words - 5 pages Week 7 Assignment Mark Holzhauser XCOMM/285 10/16/2011 Heather Parker What is Tuition Reimbursement? Simply put, Tuition Reimbursement is a program many companies offer to their employees in which the company reimburses some or all of the tuition fees their employees spend on education. Tuition Reimbursement is a classic win-win scenario. The company gets a better trained, more educated, and often more loyal employee, while the

Week 7 Development Plan Summary

1975 words - 8 pages : • MS/BA degree from accredited college in a related field of occupation • 7 years of related experience • Excellent verbal, written and oral communication Desired Requirements of Experience: • Previous experience in delivery management • Current knowledge of food and health codes • Excellent organizational skills • Excellent customer service skills • Available to work weekends and holidays • Must be able to work long hours and all shifts

Financial Accounting Concepts and Principles Week 7

859 words - 4 pages The three tools of financial statement analysis are ratio analysis, the vertical analysis and the horizontal analysis. The three characteristics of a business, liquidity, profitability and solvency can be determined from the company’s financial statements by using these three tools. The company’s liquidity ratio, profitability ratio and their solvency ratio can all be obtained through this analysis. The knowing of the financial stability of a

His-135 Week 7 Interview Assingment

963 words - 4 pages Week 7 Interview Assignment Aaron Cobb His-135 May 12th, 2013 Joseph Woodard Week 7 Interview Assignment During the Reagan Administration how would you describe the policies that emanated from the president's plan for the economy? The policies were predicated upon deregulation of certain sectors within the economy including banking as well as tax cuts. The government sought to balance the budget by cutting social welfare programs

Ypennant Week 7 Social & Civil Breadth

958 words - 4 pages Social & Civil Breadth College Seminar I February 28, 2013   Introduction We as humans have to understand what it really means to be free and what the real meaning is. Do we as a society understand how some laws were meant for all and some that were really placed in law for others? There are rules and laws that are set in place just for people of color or minority and some that are set in place for all if the all fit in the category set

Psych 210 Week 4 Day 7 Essay

1146 words - 5 pages hackers like it has been in the past few years. There have been less office robberies of paper files and an increase in hacking attempts, some of which have been successful. The fact that the administration password to each computer workstation, server, and point of sale computer is changed every year and not kept in the office has prevented identity theft by thieves who have literally tried stealing computers or accessing them from the office after

Acct 505 Week 7 Term Project Capital Budgeting

1058 words - 5 pages Accounting 505 term project AC505/Term Project Direct material cost is known as any material cost that can be identified specifically with a final cost objective. Material costs must not be charged to a contract as a direct cost if other material costs incurred for the same purpose in like circumstances have been charged as an indirect cost to that contract or any other contract. All material costs specifically identified with other contracts

Eco 550 Week 4 Chp 7 & 8 Checking Your Understandinf

646 words - 3 pages Chapter 7 1. a. L TPX (=Q) MPX = ΔQ/ΔX APX = Q/X 0 0 --- --- 1 3 3 3.00 2 6 3 3.00 3 16 10 5.33 4 29 13 7.25 5 43 14 8.60 6 55 12 9.17 7 58 3 8.29 8 60 2 7.50 9 59 −1 6.56 10 56 −3 5.60 B. C. Stage I: 0 − 6 APX is increasing Stage II: 6+ − 8+ TPX ≥ 0 Stage III: 8+ − ∞ MPX < 0 6. Consider

110014987-Eth125-Eth-125-Version-7-Week-5-Historical-Report-on-Race

710 words - 3 pages Historical Report on Race ETH 125 Historical Report on Race Throughout history, the African American community dealt with much discrimination. In 1619, Europeans shipped African Americans as slaves to Jamestown colony to harvest tobacco and that was the start of discrimination (Slavery in America, 2012. Sugar, rice and wheat are some of the crops that slaves tend to under the control of their slave owners. From dusk until dawn, enslaved

CMC 260 Tutorials / cmc260dotcom

619 words - 3 pages Educational systems Use APA formatting guidelines. Post your paper as a Microsoft® Word attachment ........................................................ CMC 260 Week 8 Assignment Negotiation Approaches (UOP) Assignment: Negotiation Approaches Resource: Ch. 10 of Intercultural Business Communication Due Date: Day 7 [Individual forum] Explain the cultural differences in approaching negotiations that predominate in two different

Related Papers

Hcr 220 Week 7 Essay

931 words - 4 pages Running head: Evaluating Compliance Strategies Assignment: Evaluating Compliance Strategies Name Axia College of University of Phoenix HCR 220 Date “Guidelines established by the healthcare staff and laws established by HIPAA are what make up the compliance process. These laws and guidelines were established to protect the patients, physicians, and staff members” (U.S. Dept. of Health

Homework Week 7 Essay

657 words - 3 pages Homework week 7 1. What are the brand values of Theo Chocolate? Organic, Fair – Trade, Bean – To – Bar chocolate factory in the US; Using special, incredibly delicious agricultural cocoa beans to make higher quality chocolate; Sustainability; Using only pure ingredient and green energy sources; Partnering with growers by ensuring they earn a living wage and caring about environment. 2. Is it valid for Theo to attempt to be the

Laws 310 Week 7 Essay

1549 words - 7 pages is no formal letter or paper that states the fiduciary relationship between John and International Widgets, the fact that the company hired John as an employee already establishes a fiduciary relationship between them, starting with the issue on loyalty (Alces, 2015, p. 357). As an Agent of the company, John is not fulfilling his role properly because his actions are more for personal gain rather than for the interest of the company. He

Week 7 Tutorial Essay

660 words - 3 pages Principles of Responsible Commerce Tutorial Preparation 1. What responsibilities should governments have when they examine and then accept tenders for goods and services? When the Australian government examined and accepted the tenders, their responsibilities were towards the citizens. Australia has been adopting the democratic system since the 1850s (Weller, 2004) so their responsibility should have been towards the citizens. The Australian