I feel that Doren’s recommendation of purchasing health care by similar means as to how we buy goods and service is an interesting one. I feel that the majority of Americans don’t know how to even begin to do such a thing. It’s difficult enough as it is just finding a Doctor you are comfortable with. If I compare purchasing Health care as to how I purchase goods and other services, I don’t always take price into account. For Example; if I like a shirt that both Macy’s and Nordstrom has, but I had a bad experience at Macy’s I will choose to purchase the shirt at Nordstrom’s even if the shirt cost more. Another example, but more along the lines of health care; I will shop around for doctors when I require certain services, however I tend to …show more content…
By going to an in network physician I am eligible to receive my insurance company discount which will help to reduce my overall out of pocket cost for any services that are provided. This is particularly important to me for the plan that I have is a HDHP, which stands for high deductible health plan. This year’s minimum deductible for single person is $1,300. Which is the amount that I have to pay out of my pocket before my plan will begin to pay. However, my out of pocket cost don’t stop there. Once I meet my annual deductible of $1,300, I am still required to pay 10% of all cost. So it’s important to me to maximize every health care dollar that I spend. In fact, I am seeing more and more employer sponsored health plans move away from HMO and PPO based plans to HDHP/ CDHP plans. This was particularly prevalent in 2014 and 2015. Per article in Health Day, “More employers moving to high-deductible health plans and consumer cost-sharing is also like to increase by 5 percent in 2015.” The thought is that health-plan participants will become better health care consumers. In actually this is not happening, for consumers are choosing to forgo necessary care because of the cost …show more content…
As a health plan participant of a HDHP/CDHP plan I can attest to avoiding care all together, for I would just get through my health care issue on my own vs. going to the doctor for care. I know enough that I can call and negotiate some of the cost of care like I have done with my dental care especially when I needed an implant. I shopped around and attempted to negotiate cash prices vs. insurance prices or credit card prices. Some Dental office would agree to take less, while others would not budge. How do you negotiate price for the Emergency room for what should one do to negotiate cost with needing to go to the emergency room? Are we as consumers going to sit around and diagnoses our symptoms via an on line tool such as with Web MD and then shop the local ER’s for the best prices to treat the condition or are we just going to go the nearest ER. When it comes to life saving treatment can we really put a price tag on health care? I understand that there are benefits to negotiating pricing with one’s doctors and being good stewards of our insurance company’s dollars, but why should we have to? Isn’t that why I go to an in network doctor for my third party payer should have pre-negotiated prices that I
Recently, a Consumer Driven Health Plan (CDHP), was created. There are many variables to a CDHP, such as benefits covered and coinsurance amounts, however there is one thing that all CDHP’s have in common – a high deductible. By having a high deductible, such as $1,200, it forces the plan participant to think about the medical services they are seeking. Do they really have to go to the emergency room for that cough or can they go to urgent care, or better yet, their physician the next day. When the plan
The consumer driven health plan (CDHP) is a combination plan, one with a high deductible plan and one with a tax-preferred savings account plan directed by the patient. The plans work together for the patient with the high deductible for major losses and the savings accounts for out of pocket expense or non-covered expenses. With the CDHP, patients are more inclined to research their medical care in order to make informed decisions (Valerius, Bayes, Newby, Seggern , 2008).
Nordstrom is an ideal store based in US equipped with fashionable items that can be bought through coupons availed through Nordstrom coupons. The Nordstrom coupon codes are another way to make discounted deals you can search for on the online web. Women make their important buys of fashionable items which is sold with use of Nordstrom coupon.
Nordstrom’s is classified as one of the biggest U.S. department stores. Along with Sears, Macy’s, and JC Penny’s, Nordstrom manages each department in their stores as an individual buying center. Every group functions separately from one another, and is administered by a buyer who is in charge of all varieties and styles of merchandise sold. Promotions that can be used in the stores are included, as well. “The company has also benefited from a new computerized inventory system that gives buyers and salespeople the necessary data to make smarter decisions about what is needed in the stores—and what isn’t.” (Lamb, Hair, McDaniel 569). This new and improved system allows the department store to market a greater amount of full priced items, which ultimately increase sales. The buyer is also able to easily determine what items to obtain and exhibit in the store by using this system.
HMOs are usually the least expensive health plans, offer predictable costs for health care, the least administrative paperwork, and cover preventive care (Barsukiewicz, Raffel, & Raffel, 2010). However, HMOs also restrict direct access to specialists by requiring referrals by a PCP, requiring patients to see a provider in the HMO network, and often not covering more costly procedures or care options, because care is managed to control excessive or unnecessary care. Providers gain if they provide less care (Austin & Wetle, 2012). This incentive could affect patient-provider trust.
Michael Granada Period 4 Summer Reading Assignment The Color of Water by James McBride I. Character Analysis – Ruth McBride a. “What color is God’s spirit?” “It doesn’t have a color,” she said. “God is the color of water. Water doesn’t have a color.”
As stated above, 11.4% of the population is still uninsured or under-insured. Of these patients, 40% have outstanding medical bills that will most likely go unpaid to the providers (3). This equated to $74.9 billion in 2013 of total uncompensated care across hospital systems and community providers (4). Not surprisingly, hospitals took the brunt of this cost at 60%, equaling $45 billion in uncompensated care. This raises the question of whether providers or other organizations can supplement the already subsidized monthly premiums. In theory, this model would be a win-win for the patient and provider, such that the patient stays covered and the provider is reimbursed for their
The changing landscape of the current health care system in the United States has caused new methods of insurance to gain in popularity. The High-deductible health plan (HDHP) is increasingly favored by employers and offered on the exchanges created under the Affordable Care Act (ACA). According to the Centers for Medicare & Medicaid Services (CMS) a HDHP is “a plan that features higher deductibles than traditional insurance plans. High deductible health plans (HDHPs) can be combined with a health savings account or a health reimbursement arrangement” (2015). In the HDHPs premiums are lower, offset by the higher deductible. The health reimbursement arrangement (HRA) the employer contributes to a fund for medical expenses while in the health savings account (HSA) which employees pay into but is not required of the employer (Shi & Singh, 2012, p. 208). The growing popularity of these plans is important as it will have effects on the healthcare costs as well as how consumers use healthcare.
When you look over your health insurance choices this year, there will be an option to select high-deductible health plan on the menu. These types of healthcare plans are increasingly becoming popular amongst healthcare seekers and consumers. So, why would anyone choose an insurance policy with greater out-of-pocket costs? Plans with higher deductibles typically have lower premiums, so you'll keep more of your paycheck. A High Deductible Health Plan (HDHP) is a plan that has a higher annual deductible than a typical health insurance plan; maximum limit on the sum of the annual deductible and out-of-pocket medical expenses that an enrollee must pay for covered expenses. The out-of-pocket expenses for a High Deductible Health Plan are
I currently work for a hospital which is part of an academic medical center. It offers 3 health plan options to choose from. The first is the hospitals own medical plan which which is has features of an EPO, and can be categorized as a CDHP (Consumer Driven Health Plan). It has a higher monthly cost, but lower out-of-pocket costs when care is needed. It has a large network of providers including the hospital, and a network of providers who have partnered with the institution. You are not required to have a PCP, but it is recommended, you must use in-network providers, it has a HIA (Health Incentive Account) with wellness incentive funds available for members. The second is a POS plan from one of the larger Insurance companies with 2 tiers of in-network providers, lowest monthly cost, but a higher out-of-pocket cost when care is needed, until you meet the annual deductible amount. This has a Health Savings Account (HSA) attached, and you can have tax deductible contributions go to the fund, and wellness incentives funds can be deposited into the HSA. The third is an HMO plan with the highest monthly cost, but a lower out-of-pocket cost compared to the POS plan when care is needed. It also has an HIA attached as well.
Prior to having a high deductible plan I had traditional personal choice insurance plan that I was able to get from my employer for my family of five for $240.00 a paycheck which was twenty six bi-weekly costing me $6,240 out of immediate salary with an eighty to twenty deductible. The first year my premium went down to $121.78 a biweekly paycheck. The high deductible was $2000. My employer paid $1000.00 and once deductible was met all costs under insurance were covered. Since then the premium went to $137.74 with a $3000.00 deductible. Currently my premium is $160.96 a bi weekly paycheck with a $4000.00 deductible and now an eighty/twenty deductible at office visits, prescription plans. There are allotted certain automatic fees for hospitalizations and high costs testing. A few preventative care costs are included for example, once a year well visits. If I pay into my HAS account I have started with fees as listed earlier then an ongoing fees of $5.00 a month to maintain it. In order to just cover the $4000.00 deductible I have to take out of my pay $153.85 bi weekly just to meet. In order to use advantage of tax free income the benefits of putting more into HAS do not outweigh other needs and costs. I have put in more than needed to meet deductible to help with copays. On top of what is not included my husband has type I diabetes on an insulin pump which the equipment is only covered 66%. Having using the insulin
The problem with this is that if the premiums and co pays are too expensive for the working consumer to afford, then they will choose not to get seen until it is an emergency. Then, be forced to be in medical debt, or claim bankruptcy.
The speech that Macbeth gives upon hearing that his wife is dead in Act V, Scene V shows a great impact on his personality and selfishness. Macbeth’s words captures the reader’s attention and also influences one of the major themes in the drama. Throughout the whole play he shows an excessive relationship with his wife. Both Macbeth and Lady Macbeth have each other’s backs with the remorse both of them have for keeping a deadly secret between each other. At the end of the play, it seems that Lady Macbeth’s death didn’t mean a thing to Macbeth because he does not feel sad or as if he has not lost something very important to him.
Time value of money. With the initial $700 million expansion investment, and growth projected at 3% year-over-year for the next five years, the best-case scenario would be most beneficial for Nordstrom to pursue. Whereas, the best-case scenario’s cash flows are 20% higher than the average-case scenario, and the worst-case scenario’s cash flows are 20% less. The conclusion that the best-case scenario is the most lucrative investment opportunity for Nordstrom is based on the factors of Net Present Value (NPV), Internal Rate of Return (IRR), and pack back values, with a discount rate of 10%, and a payback goal of five years. Together, NPV, IRR, and payback values, shed light on factors based on predictability, and are outlined in Table 2. However,
Over the years, technological advances have afforded all of us great opportunities and have granted us access to certain things that we otherwise wouldn't have had. One of the most popular forms of technology used worldwide is the use of cell phones. Although they are helpful, the creation and development of cell phones have been both a gift and a curse. Having a cell phone in class can be beneficial for the student when it comes to urgent communicating. Cell phones provide a swift way to reach out to a person if a problem occurred in someone's family. However, the downside of having a cell phone in class is that it causes many distractions for the student, classmates, and the teacher. The usage of cell phones is creating a vast problem mainly when used in school; they are a distraction, anyone can easily chat, and they can take away from peer-to-peer interactions in class. Cell phones can distract a student from learning if someone's cell phones continuously make noises from text messaging and phone calls. When surfing the internet and social media during class, you can miss the whole class lecture and possibly put yourself in a position to fail that class. Cell phones take away from peer-to-peer interactions in class which can affect them individually, and it can also affect the ones around them.