-Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response. I will use Innovation Health plan for my organization (Innovation health, n.d). According to Innovation Health (n.d), “Innovation Health is the result of a unique partnership between two industry leaders: Inova and Aetna. Inova is a nationally recognized not-for-profit health care system serving more than two million people each year. Aetna is one of the nation’s leading health care benefits companies serving over 22 million medical members. Together, the Aetna and Inova partnership is transforming the way health care is delivered Innovation Health.” Innovation Health works with providers to offer the best healthcare to the patients at the right place and right time (Innovation Health, n.d). Innovation Health plan would benefit my organization for many reasons. According to Innovation Health (n.d), “the plan has many advantages. You get: Low plan rates, predictable copays and no deductible, a greater emphasis on preventive care like cancer screenings and flu shots, a team of network doctors to help manage conditions like diabetes, asthma or high blood pressure, greater care coordination because your doctors actually work together and talk to each other, helping to avoid duplication of tests and treatments.” Innovation Health
Employee Benefits: The Company should consider and perform a cost benefit analysis for offering better benefits for employees.
Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”
As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences.
1.What are some of the advantages and disadvantages of the current health care system in the United States?
Compare the advantages and disadvantages of your choice to another of the other managed care organizations not yet
Employers should offer affordable( employee premium less than 9.5% of employee’s wages) and of minimum value( employers must pay at least 60% of insurance cost) healthcare benefits to their employees depending on factors like number of FTE, number of employees receiving premium tax credits and other complex measurements to calculate the amounts. Employers should also notify employees by written about State exchanges, and advise them that if an employee decides to purchase a health Plan through an exchange, they may lose the employers’
Looking further into the effects of health care. It is overlooked that universal health care promotes better business by benefitting them. Firstly, which is done by the means of allowing every individual to live healthier lives, more specifically individuals who are employed. Employees would have higher standards of living thanks to universal health care. With healthier lives will maximize the work done by these individuals. In total benefitting their business or the business they work for. Secondly, a fact which all business owners would love to hear is that the amount spent on employee’s health insurance would be no more thanks to universal
As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences.
“a) Contracts that explicitly detail the responsibilities of employers as purchasers with insurance, managed care, and hospitals and physician groups as suppliers, b) Information to support the management of purchasing activities, c) Quality management to drive continuous improvement in the process of healthcare purchasing and in the delivery of healthcare services, d) Incentives to encourage and reward consumers, and e) Education to assist employees become better healthcare consumers” (p. 352).
As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the following year, it is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.
By partnering with Providers and implementing Payment Innovation Models, Anthem as part of its Enhance Personal Health Care Program is empowering them with tools, information, resources and choices. This allows the providers to focus on the most important aspect– “overall health of the patients”.
Most health care analyst believes that health benefits provided by employers are provided as part of the overall compensation paid to workers. Because of the rising cost of the health care benefits, employers’ shares of
Kaiser Permanente offers a holistic health care system by combining a nonprofit insurance plan with its own hospitals and clinics. Additionally, since the plan pays a fixed amount for medical care per member, there is a considerable financial incentive to keep people healthy and out of the hospital. Kaiser oversees, administers and provides a comprehensive care for patients, ranging from providing screening and diagnosis to filling a prescription to running a hospital where the patients undergo surgery. This strategy of integration is at least 10 percent less expensive than other providers’ services (Abelson, 2013).
Overall, the role of health insurance as a financial channel will be mentioned. Monetary business objectives will be contrasted with the altruistic goals of health care as a humanitarian service. The benefits of shifting health care management altogether to the government will be discussed, emphasizing its positive effects on the businesses of the employers and the performances of the employees in the United States.
The position will also offer other employee benefits and allowances as a motivation for the workforce. The company will offer medical insurance where the employees will be sponsored for half the amount incurred as medical expenses. The medical cover offered by the company also covers the immediate