Working As A Manager Of A For Profit Insurance Provider

The superior act of living an effective life lies in the pursuit of excellent vision, to move from where we are to where we ought to be, either as a person or as an organization. A health care leader must motivate the organizational team, find how to work with the associates to effectively dedicate their time and energy to achieve the identified goals and objectives through the established vision. The team members need to buy into the vision, where they are currently doing what the leader envisions, the leader must encourage them, keep them on track and set standards for the team by setting goals and objective, flowing from the vision. This will enable the leader to move the health care organization to the expected performance level within the set time period. The leader must ensure that individual responsibilities of the associates are identified, motivated and resources provided to achieve the identified goals. To pursue the vision, I will lead the development of the health care organization’s strategic alignment of clear goals and objectives, to preserve the core mission and encourage progress toward the envisioned future state. Also, I will encourage and provide the direction for the organization without hindering the development of the goals that we expect to accomplish.

The system of health care is that of fee-for-service. When a patient visits a physician or healthcare facility, the patient is evaluated and treated, and pays for what was done. With FFS, providers are payed a fix payment for the treatment they administer their patient. Capitation characterize as a form of insurance for groups of people, with the intent of spreading exposure (risk) of health care, thus reducing the average individual cost per patient. In the United States, health care paid for without private insurance remains primarily based on FFS, with health insurance plans, including those created under the Affordable Care Act, relying mainly on capitation. Capitation is a method of compensation in the health-care industry in which physicians are paid a fixed and prearranged amount for each patient seen in a health plan regardless of any treatments or services being offered. The base rate amount paid to the physician is determined by patient demographics such as age and gender. The capitation system was established to improve and increase patient access to health services and to provide equity in health care (Leaf Group, 2017).

University of Phoenix Student: How do you see this position adapting to changes in health care?

For some reasons, the managers’ positions have been seen in a negative way for many years. However, this does not change the essentiality of this position in any organization, especially in business set-ups. There have been a constant confusion between the role of leaders and managers, and what should be clearly established is that these two roles do not share the same meaning. Being a manager does not guarantee that one is already a good leader. However, leaders can be effective managers. This only means that in order for managers to be effective and avoid negative feedback, they should have sufficient knowledge and

Capitation is the reimbursement of a fee to care providers for the healthcare that was received by the patient. Capitation is a

The Marylhurst Healthcare MBA program and 26 years of work experience in the healthcare industry will enable me to help others find and receive affordable quality healthcare. Even though, we have Obama Care people are complaining that they cannot receive quality medical care at affordable prices. In some cases, they are going without medical treatment because they cannot afford the co-pays. In addition, some people want to obtain natural healthcare and most insurance companies will not cover important naturopathy testing. It is this that has inspired me to learning the business aspect of running a hospital and using this knowledge to become a healthcare advocate.

There are important advantages to capitation which should be addressed as well as the disadvantages. MCO’s have to negotiate and contract with physicians carefully and strategically. As stated in the Module 3 PowerPoint lecture notes, a number of factors will determine which reimbursement approach is used such as amount of care competition and density of PCP’s in a given geographic area, (Orji, 2015, PowerPoint slide 10). Depending on the plan, the physician gets paid and costs do fluctuate from different regions. Beneficial ways of capitation which are they have an arrangement when specific services that

Given what I have accomplished academically and professionally, in addition to my strong leadership and organizational skills, I am confident in my ability to succeed as the Patient Care Director on 14 South. It is my strongest hope that I will be extended an interview, where I can better detail my qualifications and the reasons why I would be an asset to your team and a strong candidate for the

Throughout this case study, Gary, an employee at Brewster-Seaview Landscaping, goes into depth in explaining this business’ work dynamic. In the process of analyzing Gary’s description, we are able to extract various leadership styles which are exhibited by management. As we will see, Joe and the new supervisors’ leadership styles differ and definitely impact work outcomes.

My major leadership roles began when I joined and became Vice President of Interact Club, which provides service on both the local and international levels. I am also a member of the National Honor Society which is distinguished by four pillars, one of which is leadership. These two service groups motivated my goal to help on a larger scale as I approach college and the healthcare world. These leadership roles also served as my practice laps around the track before the marathon as I am now more capable of serving my community outside of high school organizations. Because of this, I would prove to be a chief asset in the Med-Direct Program as I have what it takes to be a part of the School of Medicine community during my undergraduate

My mission is to become a professional who would manage, lead, and improve a dynamic healthcare system. Understandably, marketing and public relations in healthcare require financing and regulations to make positive impacts in the lives of clients and co-workers. My interest in taking a healthcare career was founded on three factors: leadership, quality improvement, and healthy aging. My career mission is founded on emerging as a skilled servant leader by not doing the job for myself, but to fulfill the organization’s mission. I would prefer serving my clients without an ego and I will include both paperwork helping patients, staff members and official meetings. Overall, I am passionate about a client-directed philosophy that puts the health needs of patients above the convenience of my organization. The current situation demands that healthcare practitioners build healthcare models in the needs of clients served rather than the customs of staff.

Why or why not capitation can create the greatest incentive for providers to control the cost of delivering health services?

Under capitation, physicians are given incentive to consider the cost of treatment. Pure capitation pays a set fee per patient, regardless of their degree of infirmity, and gives physicians an incentive to avoid the most costly patients (Miller, 2009). Providers who work under such plans focus on preventive health care, as there is greater financial reward in prevention of illness than in treatment of the ill. Such plans avert providers from the use of expensive treatment options. The proponents of this method of payment especially insurance companies argue that when health care providers are not paid extra for additional office visits any associated medical expenses, they are likely to be more conservative with their treatment assessments

I chose leadership in Health Care Policy and Education as my area of specialization for my Masters in Nursing because it would help in achieving my career objectives, that is, to advance my nursing career through professional development of self by engaging in long life learning through continuing education in graduate school. Also, to assume leadership role in the use of evidence based research to develop healthy public policy and contribute to population health. I will be able to gain an advance understanding into current issues affecting health care, how healthcare policies are

I chose a career in healthcare management because it provides me with an opportunity to align my personality with my purpose. One of my gifts that I have to offer is that I