Health Care Organizations Go Through Different Types Of Situations

Many selections of healthcare plans are available for consumers to choose from to match their own personal needs, preferences and budget. The health care system is most often complex, inconsistent and costly. To maintain and improve the business, healthcare organizations are continuously innovative and evolving to meet the demands of consumers. The purpose of this paper is to discuss a case study of UnitedHealthcare Group, what they are about, their network and resource management, their view on nursing and how they satisfy their patients.

The health facility in this case study experienced several problems and issues beyond possible solution efforts by the time. One of the main problems is based on the perfect way of handling the various challenges attributed to a shift from the hospital’s fee-for-service in the case of managing care environment. Besides, some local physicians were loyal to Dr. William and had the necessary flexibility and availability to assist the doctor in various ways, but today they are no longer available to assist the doctor towards the achievement of his medical and societal mission. The physicians were always available and loyal to the doctor and they could volunteer their efforts especially in cases of physician shortages in the health center. The physicians cannot afford the time they once used for volunteering activities in the health facility to assist Dr. Williams (Swayne, 2008). The reason behind this problem is that the physicians have now been employed by various managed health care organizations. Others have been involved in various contractual agreements such that the partners prohibit them from working with the health care facility. Although the health care facility has a few small groups or individuals offering primary care, these individuals and small groups are still struggling to survive in the industry. As such, the majority of them cannot

The healthcare system in America started as a predominantly volunteer system where patients were required to pay little to nothing for treatment. Since it began, the healthcare industry has seen tremendous changes that have transformed it into a business entity which has operations like financial management, strategic planning and functional specialties to keep the industry viable. The industry is one of the largest in the country employing 15 million people with a projected increase of jobs with 3 million jobs annually. As the healthcare industry continues growing, services and personnel are changing, and various dynamics are coming into play to accommodate changes (Smith, Saunders, Stuckhardt, & McGinnis, 2013).

In addition to the challenges of the primary care physician shortage, the shortage will also have a great impact on health care organizations from a business perspective. The shortage will have a great effect because physicians are revenue makers for healthcare organizations. The care primary care physicians provide translates into billable services that make up the organization’s income. It is reported that the average physician generates approximately $1.4 million in income for a healthcare organization (Amirault, 2014). Therefore, organizations operating with less primary care physicians could experience significant revenue loss. For example, if a health care organization is short a single primary care physician it could mean longer appointment waiting times for patients. This could result in patients choosing a different organization for their medical care and the health care organization will lose money. The organization will be affected in other ways as well because fewer primary care physicians mean lower patient satisfaction and quality of care. From a business perspective, the shortage of primary care physicians will

The Accountable Care Organization (ACOs) is in an integration of doctors, hospitals and other health care providers to deliver efficient care. The purpose is to ensure that patients get the best health care treatment and prevent any medical errors. Public and private payers are part of the accountable care organizations for people that use Medicare or non-Medicare users. The essential components of ACOs are to reduce cost and share savings, remove existing barriers to improve the value of care, and have a payment system that rewards the volume and intensity of provided services. Furthermore, ACOs goals are to develop legal agreements between hospitals and other providers

In this assignment, we are asked to act as a chief operating officer of a hospital tasked with opening a new ambulatory care center in my city. We will specify a perspective of choice which are either professional autonomy, social contract, or free market. Describe at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of the perspective in action to support your response. Additionally, analyze three (3) key components sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative.

Healthcare-Outline The United States is faced with a myriad of social and economic issues every day. Among these issues, The Affordable Healthcare Act (more popularly known as Obamacare) is a recent policy that has caused a lot of controversy. The Affordable Healthcare Act is a federal,

During our previous strategic planning committee meeting, interest was sparked regarding our organization becoming part of an Accountable Care Organization (ACO). At that time, it was unclear how this change would impact the organization’s financial performance. After some research, and review of our current financial profile, their clearly exists an opportunity to significantly improve, across the board, our organization’s financial position. Please review the following analysis as part of your consideration for our organization joining an ACO.

Healthcare professionals are faced with making multi-faceted decisions on a daily basis. These decisions are not just limited to clinical matters, but they include the total patient care experience. Because of emerging healthcare trends and complex health law and ethics, it is imperative that healthcare administrators have a professional organization that they can belong to. “The

Understanding the forces affecting physicians discusses the extreme struggles private practice physicians have obtained. The increase in malpractice insurance and benefit costs, horizontal or declining revenue, and the extreme requirements to obtain EHR are contributing factors. Private practice physicians have looked for ways to work with hospitals and other health organizations. There are three offerings that were designed to meet the needs of physicians: “independent physician programs, employed

Accountable Care Organizations, more commonly known as ACOs, create a new set of incentives in healthcare and drives the healthcare delivery system to change. ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. Coordinated care helps ensure that patients, especially the chronically ill, get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds in delivering high-quality care and spending health care dollars wisely, it shares in the savings it achieves for the Medicare program. There are several ACO programs: Medicare Shared Savings Program is a program that helps a Medicare fee-for-service program providers become an ACO; Advance Payment ACO Model is a supplementary incentive program for selected participants in the Shared Savings Program; Pioneer ACO Model is a program designed for early adopters of coordinated care.

Physician services are at the center of medical practice. They directs the flow of patients by controlling admissions, referrals, regulations, insurance reimbursements, and prescriptions ( Getzen, 2013). they develop special bonds with their patients and in occasions they even become part of families. There is great demand for physicians and the supply is very limited. This phenomenon occurs due to licensure where many wishes to become doctors but are not allowed to do so.

Health care organizations are complex entities whose theory and structure have evolved and transitioned over time. In the late 1980s and early 1990s health care experienced a paradigm shift as managed care organizations guided health care practices by managing the care between patients and physicians in order to drive down health care costs. This transition has created controversy and discontent as physicians, patients and payers balance what is required to ensure quality care. The movie Damaged Care introduced the organizational structure of the managed care organizations, the hierarchy of care within the organization, the power struggle within those organizations and the impact it has on the clinical decision making and ultimately the patient. This paper will analyze the organizational theory that drives the managed health care, the roles and motivators of all parties involved and the effects organizational actions have on the consumers’ care.

The paper describes a proposed business plan for a new healthcare organization. The healthcare organization consists of 200 beds along with a 24 hour emergency room service. The focus of healthcare would be on adults. The physicians hired are of the top most quality and have years of experience in serving this occupation.

The concept of governance within a health care organization must be well design and welcome cooperation (Berger, S. (2011). When those that make policies can understand how to apply cooperative regulatory structure in healthcare setting it is noted that self-interest is not the only way of motivating positive behavior. The concept of governance spells out who is responsible for ensuring and providing support and services to all members needing health resources (Berger, S. (2011).