Health Maintenance Organizations
Name
Institution
Health Maintenance Organizations
In the United States, there are different Health Maintenance Organizations that work towards promoting the health of the American citizens. Each health maintenance organization works independently since they belong to different categories. Also, the organizations belonging to the same category have some activities and measures that are common. The Health Maintenance Organizations can be categorized into four different groups. The different categories include Commercial, Marketplace, Medicaid and Medicare (Kongstvedt, 2016). In the due process of undertaking this assignment, the health maintenance organizations that will be accessed include AmeriHealth, Aetna and Horizon. All these three organizations belong to the same category of Medicare.
The organization that scores highest on most measures
According to reports collected from the three health maintenance organizations, Aetna emerges to be the one that has scored the highest in taking most measures. For breast cancer
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The first thing that surprised me is how the organizations have taken serious the issue of children immunization. As noticed, all the organizations have done a lot of immunizations to children in the United States. Since there are many children who are born in the country, a majority of them have to go for various important immunizations. If children fail to be immunized, parents understand that they could run into health problems in future. Therefore, the high percentage of immunization that cuts across all the three selected organizations shows how parents in the United States as well as the health care organizations take serious the issue of protecting the new born children against vulnerable
The argument encompassing whether or not parents should vaccinate their children is ongoing. It is a very interesting matter to learn about and I possess some strong feelings about the case. This issue interests me because there are parents who don’t have their children vaccinated, and there are parents who do have them vaccinated. But all these parents share one particular quality: they all would like for their kids to be safe.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations
Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.
Many selections of healthcare plans are available for consumers to choose from to match their own personal needs, preferences and budget. The health care system is most often complex, inconsistent and costly. To maintain and improve the business, healthcare organizations are continuously innovative and evolving to meet the demands of consumers. The purpose of this paper is to discuss a case study of UnitedHealthcare Group, what they are about, their network and resource management, their view on nursing and how they satisfy their patients.
Childhood immunizations are extremely important to promote with expectant parents because it’s their vital decision to get their child vaccinated or not. Expectant parents need to be educated by health care workers about immunizations in order to completely understand how important they are for their newborn child’s health. Immunization accounts for
Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).
Over the past decade, the concern among parents regarding the safety and effectiveness of childhood vaccinations has become a concern in the United States and other countries around the world. A survey of physicians showed that 89% of the physicians who were surveyed reported at least one refusal of childhood vaccinations by parents each month (Gowda & Dempsey, 2013). Other researchers have noted that as many as 77% of parents have concerned about one or more of the childhood vaccinations that are recommended for children (McKee & Bohannon, 2016). However, organizations such as the World Health Organization (2017) note that not only are childhood vaccinations safe, the reduction in children receiving childhood vaccinations has brought back diseases such as measles that had been completely wiped out in the United States. It is clear that there are opposing viewpoints about childhood vaccinations that need to be understood and examined to determine which side has a better argument.
In any case, a parent or guardian’s child is their number one priority. Across the nation, sons, daughters, nieces, nephews, and younger relatives are adored and loved by their family. Most will receive vaccines, but a few will not. Despite the families’ differing points of view, they all have one something in common: the children all attend school. There is an immense risk when allowing unvaccinated children to attend the nation’s schools. Two authors of a recently read article can further support the claim. “We found that unvaccinated
By the time fully vaccinated American children they are six years old, they have received about three dozen immunizations consisting of nearly fifty vaccines (Largent 34). C. While their bodies are still rapidly developing, children are given many vaccines over a rather short period of time. D. Moreover, concern is raised among parents not just about the amount and timing of vaccinations, but also the authenticity of the government promoting immunizations and how safe they
It is very important for healthcare providers to be educated on the safety concern of vaccination. Proper protocols must be taken through evidence-based research on the issue of vaccination and the risk factors that can allow stakeholders better implementation on laws that can be beneficial to parents. The stakeholder’s in the healthcare field such as patients, healthcare providers, insurance companies, organizations, and those who enforce policy main concern are the safety of these patients. The decisions most of these stakeholders make can either benefit patients or affect them. For example, the consequences parents have if their child is not vaccinated. The mandatory law of children who are not vaccinated cannot enrolled in school is unfair to parents. I believe parents should not be penalized or forced for their child to be vaccinated. If all stakeholders can reunite through evidence based research on the topic of vaccinations risk concern it can cause a positive impact on parents and alternative ways children can prevent the side
Often debated, with strong convictions on each side, timely immunizations for children do more good then harm. Over the last few years, a phenomenon has come to our door steps. It used to be that all parents would immunize their children, without fail, because doctors told them to. In the past, the only non-immunized children were the children with health deficiencies. These children depended on the “herd” mentality. However, times are changing and parents are choosing to not immunize their children mainly based on these reasons: the possibility of them getting autism, parental lack of education about immunizations and lastly they believe that the illnesses that children are being immunized against are gone and immunizations are no longer needed.
Millions of lives have been saved thanks to a global effort to vaccinate for deadly diseases. Peter Yeo reports “Immunizations have saved more children than any other medical intervention in the last 50 years” (Reforming the U.N. 118). Yet, a new trend for parents is opting out of vaccinating their children for personal beliefs or religious exemptions. Although, the majority of Americans believe vaccines protect children, and conclusive evidence has proven vaccines can prevent the spread of deadly diseases. Still, a few parents believe vaccinating children is not essential for their health, additionally, they believe an increase in mandatory vaccines has insufficient scientific research to prevent serious medical side effects.
Central Idea: The three major reasons why some parents in the U.S. choose not to vaccinate their children, dangerous, nature, and collusion.
In order to emphasize the significance of creating organized education interventions specific to a country’s socioeconomic factors, I will compare the impact of the discussions in several countries. As expressed by the results of the survey conducted by Lori K. Handy et al., parents from Greece, Botswana, and the Dominican Republic had differing opinions about their confidence in vaccination education. Therefore, a country’s political, economic, and social state can have an impact on parents’ trust in healthcare providers as well. The responses from the participants in the
Parents are the most influential stakeholder as far as Childhood Immunisation is concerned, as both Government and Lobby Groups are dependent on their support and actions to make an impact on this topic and that is the reason why all NGO’s and Lobby Groups try to persuade public opinion in general and parents opinion specifically. However, we may see that the Parents opinion in this area of Childhood Vaccination/Immunisation are immensely divided. That’s why, we may find both most vaccinated areas as well as least vaccinated areas in our society.