Throughout the history of health coverage, many insurance companies have emerged attempting to offer a satisfactory service of insurance coverage to its policy holders with a variety of plan types and levels to choose from. To ease confusion, some plans offer different types and levels of coverage to choose from in faith of delivering a realistic plan to its policy holders; Health Net does just that. With diverse amount amenities, such as a nurse than cane be contacted 24/7 and wellness programs that also offer discounts on certain items, it will appeal to a more modernized population of potential policy holders. “At Health Net, our mission is to help people be healthy, secure, and comfortable (Health Net)” is their motto and they do as they promise to its policy holders. Health Net, Inc. is a managed care company that provides managed health care services by providing different types of health plans. According to Health Net’s website their mission is “At Health Net, our mission is to help people be healthy, secure and comfortable” (Health Net). Health Net, has a wide range of providers, plans, resources and tools. The provider network for Health Net consists of experienced and knowledgeable doctors as well as specialists, pharmacies and medical facilities. They offer a wide range of plans for individuals and families, that consist of different plan types, levels and availability and government sponsored plans. According to Business Wire “Health Net provides and
Lee Health has been a leading provider of acute, home health, and subsequent addition of out-patient medical services in Florida’s Lee County since 1916. Over its 100 years history, Lee Health has been at the forefront of medical advancements, demonstrable benefactor for social responsibility endeavors, one of largest organizations in Lee County offering employment opportunities to the community, and a community leader for progress.
The company’s Health Plan and Medical Services division provides health plan commercial risk, commercial management services, Medicare advantage coordinated care plans, and Medicaid products. It also offers commercial risk products, including health maintenance organization, preferred provider organization, and point of service products to individuals and employer groups. In addition, this segment provides health insurance benefits under the federal employees health benefits program; administrative services only products, such as medical claims administration, pharmacy benefits management, and utilization management and quality assurance programs; consumer-directed benefit options comprising health reimbursement accounts and health savings accounts to commercial customers; and comprehensive health benefits on a risk basis to members participating in the Medicare Advantage Coordinated Care Plans and Medicaid programs. Its Specialized Managed Care includes Medicare Part D program that provides access to prescription drug coverage for eligible beneficiaries; network rental business that offers network rental services through a national PPO network to national, regional, and local third-party administrators, as well as insurance carriers; and behavioral health benefits business provides coordination of comprehensive mental health and substance abuse treatment services. The company’s Workers’ Compensation division offers managed care services, such as
Blue Care Network is a non-profit health insurance company (BCN). Since its start in 1939, it has become the largest health insurance company in Michigan (BCN); in Michigan, it serves 4.5 million people, and 1.6 million in other states across the country (BCN). The company is responsible for designing, selling, and managing health benefit plans for both families and employers in Michigan (BCN). Their variety of plans includes traditional, PPO, HMO, Medicare and Medicaid, wellness-based, dental and vision, international, and plans with health spending accounts (BCN). The plans provided are just a few of the ways the organization carries out its mission; that mission is to commit to being the members’ trusted partner by providing affordable
Why does your health care practice needs a marketing plan? The same reason every other organization needs a marketing plan to stay competitive with the local market and surrounding healthcare providers. Joel Ellis, president of Practice Builders has a list of reasons why medical centers, clinics, and hospitals need a marketing plan. The main reasons why healthcare practice needs a marketing plan as outlined in the video are (a) plan nothing, nothing is what you accomplish, (b) financial investing, (c) there are risk to an organizations financial bottom line, and reputation, and marketing can’t be done on a sometime
As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences.
The Matrix tells that the US health care delivery system that (The process that enables people to receive health care or the provision of health care services to patients) is complex and massive, and despite the uniqueness of the US health care delivery system, but it lacks the universal access (no national health care program); therefore, not all population has continuous and comprehensive health care. Its mission is to have universal access with better quality. Its components of the functional view (Financing, Insurance, Delivery, and Payment). The problem of rising health care costs was a major force driving the rise of the cost of managed care which is a subsystem of US health care delivery system.
There are providers, of public hospitals community and rural health centers, and local health department considered to be safety net providers that service the uninsured. But the result of increased demand has caused limited capacity and decreased treatment options due to eroding finances (KFF, 2013). In order to improve the well beings of Americans, it is imperative to establish a health care policy that will deliver comprehensive coverage for all.
There are over 1.1 million men and woman amateur and pro bodybuilders alone in the United States. The IFBB has competitors age ranges from as young as 16 years to as old as 83 within a range categories for competition, The NutiBullet Pro is a necessary tool to assist the competitors in preparing for competitions fulfilling a need for a quick, convenient and easy way for bodybuilders to create their protein shakes, whey smoothies or one of their required 6 to 7 meals a day.
In the last four decade, the cost of healthcare services has been on the rise, thereby leading to the promulgation of the Health Maintenance Organization Act of 1973 (Salmon, J. W. 1995). This act provided the opportunity to control healthcare cost, through membership of a provider network that
With the many available kinds of insurance available in the market, the common person will want to find the best health insurance that will deliver in times of need.
Kaiser is able to respond to the challenges set forth because they continue to evaluate what changes need to be made and how to make them successfully. The strategic plan allows for an overview of where the facility is currently standing. This allows for any changes that are made internally or externally to be evaluated at the time of the change instead of after the change has been made and it is too late. The strategic plan helps to have a faster response time because there is already plan in place so it is easier to see where the changes are made and how to correct them without the facility suffering.
In the early 1930’s, the Blue Cross/Blue Shield Organization led consumers to hospitalization and medical coverage under their own charter for everyone who sought coverage for one prepaid fee. Years later, other insurance companies, such as Kaiser Permanente began to offer coverage to consumers within their geographic boundary. However, health care spending is on the rise. Over the last couple of decades the expenditures have risen from 724.0 billion dollars in 1990 to 2,486.3 billion in 2009(US census, 2011). Today, we are a nation with Health Care Reform signed into law by President Obama
This presentation provides an overview of healthcare, and also health insurance to give an understanding of what the basis of this PowerPoint will show . I also use this presentation as an opportunity to incorporate key factors in the decreasing costs of healthcare. Additionally, I provide the audience with two main care plans, which are traditional and managed care plans. Discussion topics will include:
This paper pertains to the marketing of Health Care Services and provides the steps and history of marketing in health care and the effects of marketing on the health care delivery system from 1950 to 1990. It introduces the health care consumers and their role in the marketing process as well as the factors that influence consumer behavior. These factors influence the success of marketing in health care. It also provides the requirements for successful marketing and current techniques and strategies used by health care organizations.
As an important part of strategic planning, measurement and control are critical elements in developing a marketing plan. This is primarily because the absence of a comprehensive evaluation or monitoring process in a well-written marketing plan contributes to failure. In most cases, business owners experience several difficulties in evaluating whether their marketing techniques and initiatives are working. The difficulties are even tricky when the marketing initiatives or techniques incorporate activities that are carried out simultaneously. However, these difficulties can be addressed by effective evaluation of the marketing plan through personnel, financial, and operations goals or indicators.