Quest Diagnostics : The World 's Leading Provider Of Diagnostic Information Services

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

This will be a cooperative plan with the primary care offices. Patients with chronic illnesses will be referred to care managers if they don’t already have one assigned.

Diagnostic procedure: a procedure performed to obtain information needed to make a diagnosis and treatment plan.

Seeking treatment as soon as possible after an auto accident is imperative to prevent further damage to your musculoskeletal system and a protracted recovery period. Many injuries aren’t immediately obvious. In the absence of blood or bruising, some people assume they were fortunate to escape serious injury and delay having an examination for days or even weeks, until symptoms appear.

The QSSI was responsible for creating the main page of Healthcare.gov. Where people can be able to access some information before creating and decided which plan they are willing to choose. Also, the QSSI equipped the site that transfers the data to a better secure place in order for the information on the “customer” can be safe from harm. The, Equifax is responsible for verifying the data in order for “customers” to view if they are eligible for a plan and get help, when they have an active account. Lastly, the Serco is responsible for the applications to be collected and processed before a certain deadline that the health plans are deciding to process [4].

A system in Optum’s organizational culture is the complex, detailed work in a fast-paced claims review department metrics, processing a minimum of eighty claims per day. Although Optum has a quality assurance review of whether the case management department addresses the value drivers: right care, right providers, right medications, right lifestyle, and depression screening, a quality assurance review of claims processing including the measurement of member’s satisfaction with their claims processing has not been instituted. To improve member safety and quality of care, communication, collaboration, and commitment must be the cornerstone for a positive organizational outcomes (Melnyk, Gallagher-Ford, Long, & Fineout-Overholt, 2014).

The second most likely diagnosis is dehydration. According to Arant and Canavan (2009), the diagnosis can be determined by if there has been vomiting, diarrhea, or decreased oral intake. The patient has had decreased tear production, a capillary refill time of more than two seconds, and decreased skin turgor (Arant & Canavan, 2009). All of this points to dehydration.

In chapter 23 of Rooting Out the Causes of Disease by Gary Paul Nabhan, he talks about the struggles he had as he researched diabetes and the root cause of it among desert dwellers. It is also stated that the US National institutes of health Indian diabetes project kept trying to see what the cause was and spent 100 million trying!!! Unfortunately, nobody could help the Pima lose weight. Strangely, one Native American tribe was more prevalent with diabetes than others. It was finally revealed that depending on their diet, that was the cause to this ailment.

Diagnostic Impressions: When evaluating Andre, a 27 year old white male, we can first look at his background. Based off of the information provided from this case it could be safe to assume that Andre is lower class as he is currently out of a job and does not seem to be able to hold one. Andre reports being troubled in his young adult life and using an excessive amount of drugs. Andre is currently engaged and his fiancée, Tessa, seems to be there for him as she states that they spend a lot of time together. After going over Andre’s case, I would diagnose Andre with schizophrenia.

According to InnCarae.com, the provider is committed in providing sustainable and cost effective healthcare service with the aid of advanced healthcare technologies. InnovaCare operates the PMC Medicare Choice and MMM Healthcare, Medicare Advantage Plans constituting over 7,500 providers and close to 2000,000 members. InnovaCare also operate a single medical service called MSO of Puerto Rico.

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

Statistical data reveals that 25% of adult Americans have a mental illness and more than half of the U.S. population will develop a mental illness at some point during their lifetime (CDC; APA). "Major Depressive disorder is a leading cause of disability for ages 15-44. Major depressive disorder affects approximately 14.8 million American adults or 6.7 percent of the U.S. population age 18 and older in a given year” while anxiety affects …40 million…adults ages 18 and older…” (NIMH; APA). Comparatively, cardiovascular, diabetes, epilepsy, obesity, cancer, and asthma, and other chronic diseases are surfacing with increased frequency among the mentally ill (CDC; APA). The aforementioned finding elicits question about medical care

Misdiagnosing is something that happens often and can result in medical malpractice. When seeking medical advice you put your trust into the health care provider to take the appropriate measures to determine the correct diagnosis. However, there are times that providers can make mistakes which leads to an improper or delayed diagnosis. Failing to properly diagnose a patient can prevent patients from receiving the correct treatment. By receiving improper treatment patients are at a risk of further injuries and possible fatalities. “The most common missed diagnoses for adults were cancer and heart attacks. Other that were commonly-occurring were appendicitis, ectopic pregnancy, and bone fractures. For children, the most missed diagnoses were

I completely agree with you when you said having Diagnostic teams is important in providing quality healthcare. A holistic approach should be taken in treating patients instead of just independently working to find the diagnosis. It is important to acknowledge every profession that is involved in caring for a patient. In the ever changing world of health care, it is becoming very difficult for one individual to properly treat and care for individuals independently. These is because of the complex nature of some treatments.

And the SMS even could be linked to almost any of the automated systems available. This is amazing.