Case Study : Blue Cross Blue Shield Of Nebraska ( Bcbsne )

The implementation of the Affordable Care Act (ACA) will only hasten changes that were on the horizon for pharmaceutical and biotechnology firms. Pharmaceutical and biotechnology industries new there was going to be some type of healthcare reform so they began to take the necessary precautions to prepare. There are vital provisions in the ACA related to the pharmaceutical and biotechnology industry affecting Medicare and Medicaid. Legislation in the ACA will provide provision to reduce cost for brand name prescriptions (Rx); this will reduce drug cost for patients, but increase rebates and discounts for pharmaceutical and biotechnology firms, therefore, imposing cost to the firms. The pharmaceutical and biotech industry was instrumental

The development of new technologies, the rapid increase in the number of Internet users signal to the insurance business about the opportunities for expanding the client audience and building a new channel - online sales. The Blue Cross and Blue Shield (BCBS) a national family of health benefits companies currently actively use digital marketing. It allows the most recognizable provider in the healthcare insurance industry to hold positions. This Association unities 39 independent Blue Cross and Blue Shield companies, which together cover more than half of all commercially insured persons in the United States.

Conclusion: The Obamacare has its very good points it does benefit the economy in ways that are meant to take the economy out of debt. But they do cause side effects that may not have been thought of.

Cheryl has been diagnosed with Generalized Anxiety Disorder, Major Depressive Disorder, and Alcohol Use Disorder. When asked about her concerns for post discharge she states that she has been heavily reliant on her parents and their health benefits for her treatment and that she is nervous that she may not have coverage to continue therapy. She reports that she felt safe knowing that “Obamacare” would be in place to help her afford the treatment she needs to stay mentally healthy and sober. She states that she is concerned about the possible repeal of the Affordable Care Act because she will need help paying for her mental health expenses. The Affordable Care Act made a giant leap in extending the work of the Mental Health Parity and Addiction Equity Act. These two acts work together to ensure that treatment for mental illness is accessible to many Americans that need treatment. Throughout this paper I

After a brief review of this discussion lecture. I learned the BlueCross and BlueShield also offer Medicare benefits. BlueShield plans only covers physician’s charges and BlueCross only covers hospital charges. Although Medicare benefits are offered from BlueCross and BlueShield its only offered to people that are 65 years and old and to those who are under 65 years of age but suffers from disabilities like renal disease that requires long term care such as dialysis or a kidney transplant.

In this study I will outline strategies that will be used to help aid in the support of each member interest in the Public Health Alliance. In this paper there will be data that will show the effects of President’s Obama Healthcare known as the Affordable Healthcare Act under the current Administration. Recommendations will also be provided that will show the impact that the repeal will have on the Affordable Care Act and how it will ultimately affect the public health organizations. Methods that should be taken to help the organization prepare for the expected changes that will go into effect in 2019 under the current Administration.

The Affordable Care Act (ACA) has been the biggest milestone to date in American health care policy (Saldin, 2011). There is nothing more complex or controversial in recent history than the passing of the ACA in 2010 (Davidson, 2016). The United States Supreme Court ratified the constitutionality of the Patient Protection and Affordable Care Act on June 28, 2012. With this, there were certainly challenges facing the full implementation of the provisions of this act by 2014.

The Basic Health program could be structure in several ways. It could expand programs such as Medicaid and CHIP and contract with managed care plans on behalf of its Medicaid and CHIP beneficiaries outside the private insurance market. These changes would allow both programs to continue as a "separate program with a separate financing mechanism and risk pool from that of Medicaid and CHIP, but would leverage the state's existing infrastructure for information technology, contracting, rate setting, and other function" (Angeles, 2012). Alternatively, a state could expand the Medicaid managed care by increasing the number and types of service through different network of providers, other than those that serve Medicaid and CHIP beneficiaries (Angeles,

Currently I work for Blue Cross Blue Shield of Tennessee which is one part of a complex health care system that has a lot of stakeholders. The four most visible stakeholders first would be patients, who seek medical services and advice (“The Modern Health Care Maze,” 2009).Second stakeholder would be providers of services and products, including hospitals, doctors, nurses and durable medical equipment. Third stakeholder would be payers such as private insurance companies, Medicaid and Medicare government programs and their employees. The fourth stakeholder would be employers, who purchase for their employees health insurance, then the federal government gives the employers a tax liability break allowing them to deduct this purchase on their

The chosen policy is the Health Insurance for Former Foster Youth Act (S.1797, 2017). This proposed law at the federal level is intended to secure access to health care for youth who have reached a certain age at which they are no longer eligible for foster care resulting in not having health insurance coverage (S.1797, 2017).

Universal health care is not impossible to achieve, but takes lots of planning and strategy to make it work. As President Obama campaigned, he strongly emphasized the importance of universal health care. With a great team and planning, the Affordable Care Act, also know as Obama Care, was passed. The ACA should be kept because it covers health disorders, businesses with employees have to have insurance, and allows parents to add their children to their plan up to the age of 26.

Issue: 4.6 million Texans are currently uninsured without access to affordable healthcare due to the state’s refusal to expand Medicaid or provide additional public health coverage options. Section 1115 of the Social Security Act gives the Secretary of Health and Human Services the authority to approve states’ experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs.

Anthem Blue Cross of California: Advantage HMO, Advantage PPO, Anthem Blue Cross, HMO, also sometimes known as California Care or Rural Cal Care (includes Cal PERS Traditional HMO), Anthem Blue Cross, HMO/POS (California Care Plus), Anthem Blue Cross, Individual HMO as known as California Care,Anthem Blue Cross Plus (POS), Anthem Blue Cross Small Group HMO as known as California Care (California Pacific Medical Center, 2015). More insurances are Behavioral Health Program, Blue Cross PPO, Prudent Buyer Plan, includes PERS Care and PERS Choice, Blue Cross Senior Advantage Care Plan, Blue Cross Senior Classic Plans; Classic A through L Blue Cross Senior Smart Choice, Preferred and Plus Plans, Blue Card Cal PERS EPO, Del Norte County, EPO Federal

The A single-payer national health program (NHP) has similarity to the Affordable Healthcare Act. However, it better because is addresses some of the issues that were left out of the ACA. Like, free choice of providers and the preservation of doctor–patient relationships are threatened by our current system (Gaffney, Woolhandler, Angell, & Himmeslstein, 2016). With each enrollment cycle, patients seeking affordable premiums or changing jobs must often switch insurers and risk breaking existing relationships with providers.

The Joint Commission has set forth standards for health care organizations to reduce the number of risks and amend the quality of care and the safety of the patient. Risk management and quality management focus on these attributes of the organization and the patient. Risks are impossible to avoid since it linked to everyday living and the workforce. Risk management must take the initiative to distinguish and oversee these risks. Due to the lack of consistency in the quality of care, health care organizations aim to reduce the negative outcomes of the patient safety through quality management methods. Internal and external factors may pose a risk that can have an impact on the organization and the consequence of the patient care and safety.