Anthem: BCBS Plan

Before we dig into the details of this plan, let’s have an overview of relevant data in the case (Figure 5). Further elaboration on these figures is largely skipped. However, there are three points worth noting:

Implementing the new planning process within the organization will be conducted in 3 phases. The first phase that will be conducted is personnel training. There are two different types of training that must be conducted for this process to be successful. The first training is for the Operations division that will consist of training all staff members how to use the Microsoft Project Software. The second and most important part of the training will be for all action officers from the organization’s divisions on how to properly plan and allocate resources for their events. The reason that this training is crucial was the identification of a process (commander wants revision) within the plan that has potential for a significant amount of rework (waste of resources). Action Officers that are trained will be able to plan and get approval from the commander on their events. Action Officers that are not trained will be receiving denials or worst revisions that cost rework for the

supportive of the project to develop a new plan. You have been assigned to develop this new plan.

TRICARE Health Plans is the replacement for CHAMPUS which was the provider of health care services for military dependents. TRICARE not only replaced CHAMPUS but its purpose was also to facilitate members with access to better health care. Unfortunately, TRICARE has gone through many changes and upheavals since its inception in 1997. First, they began by dividing the company into regions. Each member was placed into a region based on where the military member was stationed. If the member was stationed in Maryland then his family belonged to the East Region. Unfortunately, there were many problems with this plan. First, some military members and their families did not live in the same regions. Therefore, the families either had to travel

California Association of Health Plans (CAHP) represents statewide trade association with 46 full-service healthcare plans, which provide coverage to millions of California residents. Most member programs are introduced through group and individual markets to Californians. CAHP are dedicated to providing accessible, high quality and affordable health plans. All health plans through Covered California are members of CAHP. Their goal is to serve their members by providing and sustaining opportunities that allow them to grow and maintain viability as organizations. An organization like Kaiser Permanente, Anthem Blue Cross, Delta Dental, Bayer Healthcare LLC and Crowell & Moring are members of CAHP.

A custom profile is a physician-specific group of commonly ordered laboratory tests or panels which have not been defined by the AMA or CMS that are medically necessary for treating a patient's condition. Custom profiles are for use by the defining physician only and an acknowledgment must be signed by the physician on an annual basis.

Medicare Advantage Plans, an alternative to traditional Medicare, are operated by companies that contract with the federal government to provide all of the same services that people would normally receive from Medicare's Part A and Part B. Participants still pay their Medicare premiums, however, they may have be subject to different rules regarding care, which may include higher co-pays or additional services not covered by Medicare.

Also referred to as a Medigap plan, Medicare supplemental insurance policies are important for most people who are covered under Medicare. When you turn 65, you can apply for coverage under Medicare, but this insurance will not cover all of your medical expenses. This is the purpose of purchasing additional health insurance. However, there are a few things to understand about Medicare supplemental health insurance. The following are three of them.

Getting the right health care coverage is important. Your plan should cover everything you need it to while not charging for services you will never need. Medicare is managed by the federal government. It provides coverage to eligible people. Both Medicare Part A and Medicare Part B are also known as Original Medicare. These fee-for-service plans allow people to get access to doctors and health care for a small fee. Medicare Supplement Plan B is intended to cover gaps in Original Medicare.

Beginning January 1st, 2014, the health care insurance marketplace, or an online price comparison website will be open for Americans to shop for the most affordable

The acquisitiveness of one results in the torture of many. In the story of Macbeth, Shakespeare unveiled the tragic sequence of events that happened all because of greed that is found on the dark side of the human nature. In the eleventh century in Scotland, Macbeth is a well-known nobleman for his great bravery in defending the country. Macbeth is first introduced to the limits of his power and his ambitions by the witches, who greet him with three titles: Thane of Glamis, which Macbeth is aware of, Thane of Cawdor, which is actually is true at this point, but one that Macbeth has not been told of, and King, which has not yet become true. The witches are the ones who plant the actual idea of killing Duncan into Macbeth's mind; however, Macbeth was the one to perform and went further than that. In other words, avarice is proven in the play to be the root of all evil.

Medicare is a federal health insurance program. This program pays for a variety of health care expenses for people who are 65 and older, adults with approved medical conditions such as Lou Gehrig’s disease, qualifying permanent disabilities may be eligible. It is financed by payroll taxes, premiums paid by voluntarily beneficiaries, income taxes paid on Social Security benefits and interest earned on the trust fund investments.

As more provisions of the affordable care act continue to be implemented many find controversy ineffectiveness of the new health plan. On an annual basis the correlation seems to grow more positive on one end, and more negative on the other. Since the start of (2014), the approval percentage of the Affordable Care Act has increased from 10% to 16%, while the percentage saying it has hurt them has also gone up, and by a similar amount, from 19% to 27% (Riffkin, 2014). Overall 41% Americans approve of the affordable care act in comparison to 53% of Americans that disapprove. The complexity of the changes really affects populations differently based on their income levels. The 2010 Affordable Health Care Act passed through congress has

To attract Medicare patients, hospital must be contracted with Medicare. Hospital must also be contracted with private health insurance companies that provide Medicare Part A or Part B benefits. As per Kaiser Family Foundation, there are more than 55.5 million Medicare beneficiaries in the U.S. and Texas has more than 3 million. Hospital should have regular contact with senior citizens and can be made attractive to Medicare patients by offering sessions about healthy life style choices. Also offer regular disease management sessions, exercise group and organize social activities such as trips to mall, museums. Seniors should also be encouraged to take tour of the hospital.

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