When reviewing the Middleboro Physician Care Services case we learn that it is a for-profit corporation that was founded in 2008 and offers non-emergent care services within two locations. One of them at the Alpha center outside of the city limits of Middleboro and the other is at the Beta center in Jasper. Both of these locations offer ambulatory medical care services that are provided on a walk in basis. These centers do not offer any emergency services, and if a patient were to arrive that needed emergency services and ambulance will be called to transport the patient to the nearest emergency department. Physician Care Services specializes in providing services to the public that are convenient.…
You shared your dissatisfaction with the care you have received from Kaiser Permanente. You stated that on August 24, 2016, you had a Magnetic Resonance Imaging (MRI) scan done at Banner Health. On September 9, 2016, you were informed by Kaiser Permanente, the image completed at Banner Health was done incorrectly and a second MRI was needed. You have requested for file a formal complaint. In addition, you have asked for the second MRI charges in the amount of $158.73 be adjusted off of your account.…
Mergers The closure of so many departments coupled with reduced staffing levels has led several rural hospitals to offset their financial burden through mergers with larger health systems. The acquisition of smaller hospitals by larger health networks have been a growing trend in the healthcare industry. Noles (2015) notes that, the yearly number of hospital mergers have exponentially increased since 2009 with more than 60 percent of hospitals now in a network. Harrison (2011) has linked this increased propensity of hospital mergers to declining reimbursement combined with greater capital needs.…
This alignment focuses on physicians that work independently from an organization. In this alignment model organizations create and polish plans and programs that support these physicians. A way this is done is by getting a third party involved to create contracts with various physician groups. These contracts state what services are being purchased and what services will be provided to the hospital. Not only are the services listed but expected performance levels of physicians are also in the contract.…
Managing functions is the center role of an organizations. The opportunity of expanding the business has been one of many discussions. The clinic would like to add more to the services that we give to members and nonmembers. There is an discussion on having a on-site pharmacy for patient and expanding to different cities.…
This paper has demonstrated that CHKD has enough resources and competitive advantages to create a successful enterprise. It has the legacy and capacity to be a leader northeastern NC’s non-profit healthcare industry. A comprehensive investigation of this community’s operating environment has been presented. We used tools such as demographic analysis, service area structure analysis, and competitor analysis to identify strengths and weaknesses of the project. Each of these tools looked at the community needs from a slightly different perspective in order to develop a complete understanding of CHKD’s…
America’s Health Care Empire According to Business Insider, if America’s health care system was a country, it would have the sixth largest economy in the entire planet. And despite it being wealthy, it’s the only industrialized nation that does not have a universal health care system (Statistics). America’s health care system is an atrocity in our society because it is bankrupting millions of Americans in addition to offering ineffective treatment to those who need medical care. It has been estimated that hospitals overcharge Americans by about 10 billion dollars each year (Snyder).…
According to most studies, during 1980 and 1990 a long-debated issue concerning the significant growth of managed care plans within the health industry. Both toward the substantial cost saving to managed care as well as their heavily controlled patient care model. The one worry less notable during the managed care launch and large enrollment of new members was their risk adverse structure. The managed care system developed a method that enabled them to shift the risk and medical liability, away from the health insurance companies and onto the network of healthcare providers, through contracts. At the time, physicians feared not being a part of large networks, in that regard, managed care organizations gained the most leverage during contract…
The human services frameworks in guaranteeing that people appreciate ideal wellbeing, they should have the advantage of significant therapeutic services benefits that are successfully planned inside a solid general wellbeing framework. In considering the part of the social insurance division in guaranteeing the country 's wellbeing. Late changes in the structure of the healing center industry, the repayment of doctor 's facilities by open and private area protection projects, and nursing deficiencies have brought up issues about the capacity of doctor 's facilities to do these parts. All medicinal services associations, proficient gatherings, private and open strategy producers ought to embrace new patterns as their unequivocal reason to persistently…
Evolution and Current Trends of Managed Care As the landscape of health care in America evolved, early care practices of the 1900’s gravitated toward a prepaid medical group practice, leading to a managed care approach to health care. Evolution continued leading to an expansion of health benefits, and various options of providers and services ultimately leading to a rise in health care cost that could not be overcome. This paper will discuss the forces of change for managed care, current obstacles in place and how those obstacles can impact the future of managed care.…
A few years ago when I asked an audience how many people did a meditation practice on a daily basis or knew what Reiki was – very few would raise their hands. I am pleasantly surprised now when I speak before groups to see more hands rise for meditation and more people becoming aware of Reiki as well. DSC_0548 Healthcare Changes: How does the song go? You know the one by Bob Dylan that says “the times they are a changing..” There is a slow but quickening interest in ancient healing modalities.…
Managed health care has made significant contributions to the health care delivery system. There is documentation of what is now termed health maintenance organizations or HMOs as early as the early1900’s. Health maintenance organizations, preferred provider organizations (PPO) and point of service plans (POS) are the most familiar types of managed care plans. The beginning of these plans came about because providers wanted to maintain and enhance patient revenues. What started out as a simple concept has evolved into an on-going complex health care delivery system.…
The identification of nonprofit and for profits can be identified by different classifications. The organizations operate by the same rules and regulations, but differentiate by tax exemptions and the utilization of profit margins. In conducting an analysis on one provider from both for profit and nonprofit, I chose the Community Health Systems and Kaiser Permanente. Both organizations are at the larger end of the spectrum in their respective business classification. Each organizational foundation presents strengths and weaknesses from a patient, provider, administrator and third party payer’s perspective.…
The impact of increased government involvement has required healthcare providers to alter their business practices. They must have a clear vision of the future and develop strong strategic planning methods to ensure practicability in the new healthcare marketplaces. Healthcare organizations must continually evaluate the healthcare markets, their labor costs, and present infrastructure to ensure soundness of their business plan. This also has caused hospitals, medical practices, physicians, and other healthcare businesses to merge and unite to stay viable in healthcare marketplaces.…
With this expansion, we would want to meet both the physician 's demand for more office space close to the hospital, as well as meet the needs of the community and patients. If we observe the additional offices fill up quickly, this would be a measure that we succeeded in our expansion and was a success. Furthermore, we would want all the working physicians to be receiving a sufficient amount of patients and meet the demands for…