Healthcare Organization

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Healthcare Organization 's - HMO vs. PPO Angela MacLeod, Ifeoma Jonathan HCS-413 April 17, 2011 Jeffery Dodd Healthcare Organization 's - HMO vs PPO Introduction A health care system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations. There are two widely known and used healthcare organizations that deliver insurance to the vast majority of the population, Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO). This document will further compare these organizations in how they communicate, management style, motivation, culture, conflict resolution and ongoing management development. Communication…show more content…
PPOs allow consumers to seek care outside the network coverage but this allowance attracts extra fee. PPOs provide prescription services at a reduced cost; have a larger network covering larger geophysical areas. PPOs management style has advantages over HMOs as they less restrictive and affords the consumers opportunity to use out of network facilities with prior approval at a cost. PPOs are located in more geographical areas and makes access easier. Subscribers are not stuck with a PCP nor require referrals to see providers outside the network. Consumers file for claims for reimbursement when visit is made to out of network health provider Motivational Methods There are as many different methods of motivating employees today as there are companies operating in the global business environment. Still, some strategies are prevalent across all organizations striving to improve employee motivation. The best employee motivation efforts will focus on what the employees deem to be important. It may be that employees within the same department of the same organization will have different motivators. Many organizations today find that flexibility in job design and reward systems has resulted in employees ' increased longevity with the company, improved productivity, and better morale. Conflict Resolution With the need for constant change comes conflict. There are several strategies for handling conflict, avoidance,
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