Session #3: Health City Cayman Islands
MATERIALS
1. Health City Cayman Islands (9‐714‐510)
2. Narayana Hrudayalaya Heart Hospital Video
3. Expansion at Narayana Hrudayalaya Video
DESCRIPTION
Narayana emerged initially as the world’s largest focused‐factory, lowest‐cost, and high quality cardiac care facility, initiated in Bangalore. It then subsequently morphed into a large Health City, and then spread geographically across India, and via diagnosis‐by‐telemedicine all over the world. Now, it has opened a state‐of‐the‐art facility in the Cayman Islands, to serve the Caribbean, and within striking distance of large numbers of US under‐insured, but just outside US regulatory waters.
ASSIGNMENT QUESTIONS
1. The Coronary Graft Bypass Graft
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The case gives an overview of NH operations in Bangalore, India. Why is the original NH model relevant and successful in India?
The NH Model is relevant and successful in India because it meets a number of important criteria.
It uses inexpensive premises (minimalistic) but maintains high standards of outcomes.
It specializes in high volume low cost procedures and as the model matures greater efficiencies are drawn from the learning.
Medical Efficiencies are comparable to the west using the best equipment.
People are employed at better rates then others hospitals in India however they tend to work longer hours and can do multiple tasks. Junior staff performs routine task and those under training resulting is better quality of care.
People are poor and not all can afford the fees for care or have insurance.
The model can be replicated in other cities.
Insurance claims for negligence are very limited
India Governmental hospitals have a poor reputation for quality of care and post operation infections.
3. HCCI expects patients from the Caribbean Islands, the US and South America. To what extent, if at all, should HCCI consider adapting the NH model developed in India? How does the adaptation decision relate to the CABG pricing and the target
Medical costs are getting too expensive. Ever fought with your insurance providers because they refused to pay for care, or struggle to find an “in-network” provider? I know a woman whose name I will change for her privacy and the struggles she is going through are a perfect example of an issue many people face when dealing with insurance; Nancy’s (name changed for privacy) story is a perfect example of how our healthcare system is no longer working for the people. Nancy is this woman whose husband recently passed away. Nancy used to work for county and county workers cannot receive social security; and Nancy is too
Globalization in healthcare is a topic that has been the subject of many debates worldwide. While practically the entire world is becoming a global village due to globalization, the healthcare industry was considered to be invulnerable to this trend. This was attributed to the fact that healthcare is a service industry, where service is delivered on area of purchase. However many developments not only in the healthcare industry but in the entire economical sphere as a whole have seen the aspects of globalization. As a result globalization in the healthcare industry is a common phenomenon in the contemporary world. As the healthcare industry across global boundaries becomes increasingly intertwined,
According to Hospital Compare Cape Fear Valley Hospital is labeled as as “Worse than national bench mark” for CAUTI rates (Medicare.Gov, 2015)
and hospitals and local health programs. But the lack of insurance is the cause of financial
There are countless significant factors that affect this problem, although most of them are society and the way that they portray their predetermined biases to the poor or anyone who is struggling. The only way to alleviate these issues is to continue to educate the people in hopes that future generations will rectify the wrong of the past. Nevertheless, we can orchestrate some ways to lessen the burden of the underserved from listening to their needs, for instance, lack of transportation, including travel time, and safety to and from the physician’s office would allow many to truly have the ability to utilize their insurance. Another issue is clinic and appointment wait time, inability to pay co-pays or prescription fees, knowledge of benefits, and the poor treatment they receive from front office staff and medical assistance due to their insurance status (Freed, Hansberry, & Arrieta). Recipients of employee based commercial insurance can’t possibly understand the difficulties that the poverty stricken population endure just trying to use their insurance and due to this there is no empathy or response to these struggles. The common belief system in America is that everybody is given the same opportunity and if you are struggling, it is your own fault. This is a complete, nonsensical way of thinking.
Substantial increases in health care costs has put significant strains on federal, state, and household budgets as well. Quality of health care varies widely, even after controlling for cost, patient preferences, and sources of payment (ATR, 2015). Many Americans lack health insurance coverage which also put a burden on the health care system itself, onto the consumers, and the tax payers as well.
Limited healthcare in the United States forces those who are too sick to get coverage are either forced to pay large medical bills or die. If those individuals were able to see a doctor more regularly, then their health could have been followed sooner. A few years ago, I was unemployed from work a battling a health issue that caused me to lose my job. Originally, I lost my health insurance and then was offered a plan through Cobra. The premium amount that I was requested was over a $1000 per month. Luckily, I was able to be add on to my husband’s plan so I could still receive treatment. When you are not able to receive healthcare even for simple situations like an antibiotic for a cold has the potential to turn into pneumonia or something worse that could cause death. As we get older, our bodies have a harder time fighting infections and we are more likely to have a serve health issue like diabetes, cancer, and heart disease; which all cause severe implications on the body that hinder both the physical and psychological development of an
Even with some especial programs like ACA, a lot of people can’t afford for coverage due to extreme rate of poverty.”Cost still poses a major barrier to coverage for the uninsured. In 2015, 46% of uninsured adults said that the primary reason they were uninsured was because it was too expensive, making it the most common reason cited for being uninsured”(Key
Lack of doctors is only one facet to this multifaceted problem. Accessibility in terms of having the financial resources to obtain care is another. “Individuals in lower social status groups have the highest rates
Of those people many were considered below the poverty threshold, however due to strict state regulations these individuals or families did not qualify for insurance through Medicaid. As a result, when these Americans needed to be seen by doctors, insured tax paying American’s would be stuck with their bills.
Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States
Why is there over 120 thousand people waiting on an organ transplant? Why are there 44 million uninsured people in the United States alone? Why is it that 1 in 10 americans cannot afford their medical medications? All simply answered by the fact that it’s all too expensive. The poverty level, according to USDA 2015, in the United States for a family of four is $24 thousand. With so many conditions, cancers, and diseases, everyone should have equal health opportunity, but this is not the case. In turn, the population turns to alternative sources of help: such as the Black Market.
As far as Society plays into this, the high cost economically results from price of dealing with and treating distressed patients. Burdens resulting in an increase of support needed to take care of kids who can't become self supporting and greater demands for medical help are becoming a problem in our society.
Netcare’s local and international footprint, combined with their ability to be a leader in providing South Africa with medical skills has provided them with the ability to portray an image as that of a leader in the industry.
Another issue was that, because of India’s poor infrastructure in rural areas, HiH lacked an integrated information system to connect its 12 district offices. As a result, the process of gathering information from the field to determine capital requirements or branch performance was a time consuming process which occurred approximately quarterly.