HSM 543 Week 6 You Decide Essay

866 Words Feb 9th, 2014 4 Pages
You Decide-Back to the Drawing Board
Student Name
HSM 543
February 16, 2014

As the CFO of Community Memorial Hospital, I have a major problem on my hands that could lead the hospital in a financial bid. Bill Jacobs, the Human Resource Director of Commercial Intertech (CI) which is the largest employer in the community, has signed a contract MegaPlan Health. MegaPlan is a known insurance company that gives hospitals a very hard time especially when it comes to discounts and fighting claims the hospitals make. Since all of our employees and their families will be using MegaPlan Insurance and Community Memorial is not on their Preferred Provider Network (PPN), I need to figure out if we should work with or without
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Employees could start complaining to MegaPlan about the procedures that they may have to follow and MegaPlan could be dropped as their primary insurance company. Even though MegaPlan Insurance is considered to be known for their cut-throat tactics, negotiating steep discounts and fighting every claim a hospital makes, they will have to understand that our community sticks together and at the end they have to figure out if they want to work with our entire community and not just be the primary insurance company.
In conclusion, in today’s society, a supportive community can make a vital difference in the well-being of its members. Accordingly, there is evidence that community-based health programs can play a strong role in improving the health status of a community’s citizens. So I am really confident that MegaPlan Insurance will definitely take this counterproposal inconsideration and I think eventually we will both come to an agreement but I have to stand up for my hospital, employees and community so I feel creating my own counterproposal is the best decision.

Reference
Healthcare.gov(2013).Glossary-Preauthorization.Retrieved February 13, 2014. https://www.healthcare.gov/glossary/preauthorization/ Introduction to the Financial Management of Healthcare

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