Case Study: Why Doesn T The Hospital Bend The Rules For John Q

Decent Essays
To begin with the first question, “Why doesn’t the hospital bend the rules for John Q’s situation?” We have to first analyze his situation with his son. Now with John’s son in the hospital, He and Denise will have to obtain a great amount of money in order to get the money. John and Denise quickly turn to their insurance company, which is not a bad idea. The purpose of insurance company is “ to help you pay for care while also protecting you and your family financially in the event of an unexpected serious illness or injury that could be very expensive” as defined in the US Department of Health and Human Services. Now when John requests for help, the insurance company refuses due to his policy and his switch to a new insurance company forcing

Related Documents

  • Decent Essays

    The case of Brandt v. Boston Scientific Corporation and Sarah Bush Lincoln health center. This was a case where a patient Brenda Brandt was seen for a medical condition. While being treated for the condition the medical center she was implanted with a product that would be subsequently be recalled after her surgery. I was recall because it caused server medical complications with patients. Mrs. Brandt files a suit against the medical center and the manufacture Boston Scientific Corporation of the product which was implanted in her for a breach of warranty the Health center file a motion to have the case thrown out.…

    • 147 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Cms 1500

    • 444 Words
    • 2 Pages

    The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…

    • 444 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    she was fired for not coming back when she was pressured to do so and for fulling exercising her FMLA rights. Terwillinger, now a former employee of Howard Memorial Hospital, did end up losing her claim as she was not denied her right to use FMLA leave. Terwillinger’s case did bring about various points that were laid out for both employers and employees to abide by in order avoid interference claims of this nature. All employers should strive to make sure that all employees are aware of the FMLA policy upon hire. If an employee does not receive said policy, they should follow up with their employer so that they have the documentation.…

    • 689 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Front Street Hospital: Uninsured Charges and Collections (pg. 237 of Cases in Healthcare Finance, 5th edition) It is quite clear from the text’s exposition on the policy, billing, and collection habits of certain not-for-profit hospitals that serious injustices were being committed against uninsured patients. These injustices were primarily financial in nature – although physical and psychological trauma almost always followed – and they reveal the systematic nature of the abuse. By setting “rack rates” – an extremely expensive set rate for medical procedures – as the ‘standard fare’ for all patients, while simultaneously granting clear and enormous discounts for those insured through third-party entities, the not-for-profit hospitals unconscionably…

    • 894 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Medicare Coverage: A Case Study Heidi is a 72 year-old female who is hospitalized for 70-days after experiencing a stroke and further complications of a deep vein thrombosis of the leg and pulmonary embolus. Her current insurance includes Medicare Part A and B without Medicaid or a Medigap policy. While in the hospital she is treated by both a hospitalist and neurologist.…

    • 973 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Whose Hospital Case Study

    • 1133 Words
    • 5 Pages

    Case Q: Whose Hospital? Background of the situation: In June of 1979, the medical staff at Brendan Hospital held a mass meeting at the hospital to discuss various allegations against CEO, Don Wherry. A petition was signed by half the medical staff and by half the employees of the hospital at the mass meeting.…

    • 1133 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    This example exemplifies how the world of health insurance becomes a matter of money versus morals for businesses. In Maine with Ted and The Maids, money reigns supreme, but over in the Bay Area, health insurance takes a different…

    • 1391 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    A 1. In this paper I will be comparing the overall healthcare systems between the United States and that of Great Britain. A 2. In the United States we have private healthcare which each individual person has to pay for, one way or another. There are some government programs such as Medicare, Medicaid, Veterans health administration and Children's Health Insurance Program that help supplement healthcare but there are strict qualifications that must be met and not everyone may qualify for it.…

    • 688 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Hi Tammy, I enjoyed reading your discussion post on the ethical dilemma in ambulatory care. Living wills and advance directives can be great tools when used. Your resources and citations were very relevant to the topic. Many years ago I was fortunate to work in a skilled nursing facility with a full-time chaplain. As a result, I wondered if a faith-based representative would be another resource for this patient’s daughter.…

    • 97 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Is having insurance worth all the out-of-pocket costs we as patients get blind-sided with? There is a huge debate regarding seeing a physician that is in a provider network but the physician is not. Balance billing has started to rise as physicians want to cash in more for a patients care that the insurance will not cover. Balance billing is affecting many patients that have to pay thousands of dollars after a visit. “The Patient Protection and Affordable Care Act, informally known as ObamaCare, is a step in the right direction.…

    • 776 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to S. Boyer, as many as 12.6 million adults were denied coverage by insurance companies in the year prior to her writing her blog. Some of the individuals denied coverage or were charged higher premiums included those with a history of childhood injuries, cancer that has been cured, or had been victims of domestic violence, (Boyer, 2011). The majority of the “pre-existing” illness/injuries that the insurance companies refuse to cover or were charging higher premiums for have no effect on the individual’s present health. Neither do they portray a possibility of future health related difficulties. The morality of the insurance companies for this practice is not only questionable but, points to an unethical exercise in judgment and accountability on their part.…

    • 1305 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Affordable Healthcare Act

    • 980 Words
    • 4 Pages

    The status of healthcare in the United States was a goal of President Obama, in which Obama sought to correct. Prior to 2009, health insurance was not a luxury all Americans could afford. Various countries including France, Canada, and Germany all currently provide universal healthcare to its citizens. The Affordable Healthcare Act was introduced into Congress, and became law in 2010. An analysis of the underlying need for universal healthcare, case studies in Germany, and the future of healthcare in the United States, reveals the motivation of the Obama Administration.…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Did the End Justify the Means? An ethical dilemma is a situation where one has to make a decision between two moral options; both of these options would end up with a negative result. In the movie called, “John Q”, John Q Archibald has a son who has a fatal cardiac condition and needs surgery as soon as possible. However, the parents do not have nearly as much as they need to even pay the deposit.…

    • 1068 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Doctor’s Hospital is an acute care facility in a small town. Due to a major financial disruption they had to transform their organization’s governing structure. As a result, they did not consider the impact of CIO in IT and they turn CIO’s full-time job into a part-time job. Therefore, Doctor’s Hospital faces many information system challenges. Along with that hospital is undergoing 3 phase construction.…

    • 768 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Cashless hospitalisation, where you needn’t pay cash at the hospital during the time of surgery or hospitalization is an insurance option preferred by many, as they needn’t make up money during unexpected emergencies. All you need is a card and the insurance providers will pay for you at the hospitalbut is cashless hospitalization, always credible? Many have experienced situations where cashless settlement policies have not come to their help during the time of need. How a Cashless hospitalization works?…

    • 489 Words
    • 2 Pages
    Improved Essays