Economic Issues Simulation Paper

1071 WordsFeb 5, 20125 Pages
Economic Issues Simulation Paper HCS/440 January 23, 2012 Charles Sigmund Health care economics studies such issues as demand for medical care, pharmaceutical prices, competition among health care providers and insurers, and financing of health care services. Castor Collins has put together a plan which will help solve many issues facing the organization. The plan is built to maximize profit for the company and minimize the risk of poor choices provided to individuals who will cause the organization to fall. Castro Collins Health Plan Castro Collins Health Plan was founded in 1999 as a regional HMO, which provides health care services and health insurance to their enrollees which consist of 100,000 peoples.…show more content…
Ninety five percent of them do sedentary activities, which has led to several instances of obesity in this group. Health Care Risk Factors According to the profile of constructit, their enrollees do great physical activities; however, 43 percent of them do sedentary activities. Obesity affects 39 percent of the group, therefore, Castro Collins has to consider the risk of obesity- related diseases such as; high blood pressure, diabetes, hyperlipidemia and cardiovascular diseases. There are 170 men and 210 women who has not been diagnosed with having no major health risk at all. Seven hundred and twenty of the people of E-editors are obese, which indicates risk of hypertension, diabetes, cardiovascular diseases and high cholesterol Plan Details Castor standard and Castro Enhanced are individual plans, Castro standard does not cover preexisting medical conditions. Castro Enhance does cover preexisting medical conditions. Castro Collins must now look at the risk, cost and profitability the company will incur in providing insurance to both groups. Castro Collins also provides detail of service for both groups. Coverage for the following services is provided under the terms and conditions and at the co-payment each company list for chemical dependency, treatment, durable medical equipment, emergency services, family planning, hospitalization services, maternity care, and mental health care services,
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