Case Study Of Californi Anthem Blue Cross

This week I began my 6-week internship at Blue Cross Blue Shield of Nebraska (BCBSNE). The first day was a common orientation for all new employees, internally denoted to as the “onboarding process” where all employees are told they matter. This full-day session communicates the core mission, vision and goals of BCBSNE, organizational structure, operating objectives, and workplace culture. BCBSNE is a not-for-profit health insurance company that is focused on collaboration to find the best solution for their customers; in other words, they are customer-focused. Since the implementation of the Affordable Care Act (ACA), many changes to the health insurance market required a change in the organizational structure and culture of BCBSNE. Through partnerships with providers, the goals of BCBSNE are to be responsive, accountable, minimize errors, and decrease costs – all components of the ACA. BCBSNE has strategically aligned their goals to those of the government-mandated goals, and implemented them at all levels of the organization, making them competitive in the health insurance market. I found this very fascinating: I was very excited after day one!

HealthSouth Corporation was incorporated in January 1984 in Birmingham, Alabma by the founder Richard M. Scrushy. HealthSouth Corporation is the leading provider of medical rehabilitation health care and outpatient surgery services in the United States. Richard M. Scrushy was the former CEO& Founder of HealthSouth Corporation, and there were 5 CFO which were Aaron Beam, Weston, Smith, Bill Owens, Michael Martin and Tadd Mcvay.

On October 10, 2015, while working off duty at Cardinal Health, reserved Deputy Brawley and Sergeant JakeBowden were advised by an employee that a wrecker was circling the lot. It is Cardinal Health’s policy not to allow people on the property unless they have business with or are employed by Cardinal Health. The parking lot is posted.

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.

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.

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

WestCare Illinois’ Impact Program is a not- for-profit organization that provides an integrated substance use and mental health disorder treatment program in order to serve 145 men in the Cook County Department of Corrections (CCDOC) on a daily basis (WestCare Illinois Programs, n.d.). The Impact Program integrates cognitive behavioral therapy (CBT), trauma intervention, case management, and reentry services (WestCare Illinois Programs, n.d.). WestCare is on three decks within CCDOC and serves around 44 clients on each deck. The clients are court mandated to the Impact program because of a drug involved criminal charged (WestCare Illinois Programs, n.d.). During intake, 32% of the clients’ reported that their primary substance of misuse

In the United States, the number of uninsured continue to increase everyday with no solution. "As of today the number of uninsured American remained at 10.9 % in the fourth quarter of 2016"(Holahan, 2017). In today economy where unemployment is at an all time high, millions of peoples are without insurance due to unemployment. There are also a lot of uninsured American that are employed, that can't afford insurance.

Data show that the number of uninsured Americans has greatly reduced over the past 2-3 years. However, prior to the adoption of various provisions of the Affordable Care Act (ACA), there were over 41 million people uninsured in 2013 (Kaiser Family Foundation, 2014). The number of people without health insurance, especially children, has steadily increased throughout most of the past decade. Children without health insurance are more likely to suffer from preventable and treatable illnesses, including their long lasting related effects, than their insured peers (Majerol et al, 2014). Majerol et al. also demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.

Carson Tahoe Behavioral Health Services offers comprehensive inpatient and outpatient services for seniors, adults, adolescents and children suffering from mental health and substance abuse issues. Their Category is Outpatient or Partial Hospitalization Mental Health Facility. This Facility uses a holistic approach to treatment.

On this date worker received a call from Ms. Kimbrell, Medicaid Caseworker. Ms. Kimbrell stated Mr. Duncan's nephew who is living at the residence in Curry would need to fill out a Statement from Dependent Relative/Community Spouse form. Because he is living in a home, Mr. Duncan is part owner. She also stated Mr. Duncan would be denied institutional Medicaid because he was not transferred to a long-term facility. However, he could receive hospital Medicaid because he was in the hospital longer than 30 days. The transfer penalty does not apply to hospital Medicaid but if Mr. Duncan ever applies for institutional Medicaid, they would need the person who purchased the home from Mr. Duncan to provide something showing the amount of money he spent

When it comes to the issue of healthcare, a lot of specific forces come into play. In order to understand and keep track of political situations like those dealing with healthcare one must use the analytical framework. A current political issue relating to healthcare is the Medi-Cal program in California and its controversial system of recovering medical costs from the deceased. Governmental, political and structural policies and politics each have their own roles to play on this specific issue.

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.

The Fortune 500 company I chose is CVS Health. I chose this for a few different reasons. First, I recently had to visit the Minute Clinic in the CVS store twice within the last month. Secondly, I chose CVS because it is part of the health care initiative and I work for a healthcare company.