Preferred provider organization

these, which identifies the 'product ' of a particular organization as having sustainable differential advantage" (Kent, 2003, p. 132). Arguably, branding in health care can be considered more important compared to any other industry. The reason rests behind the philosophy of health care pertaining to an individual 's most prized treasure: life. A health care organization 's brand should facilitate a deep level of trust and respect to its consumers. Without it, patients will be more reluctant to place his/her life in the hands of a caregiver. The ensuing research describes the importance and use of branding within the health care spectrum, paving…

those who belong to a plan or plans. There are three types of managed care plans; health maintenance organization (HMO), preferred provider organization (PPO), and point-of-service (POS). Each one of these has rules and regulations that are monitored and must be billed correctly in order…

Anthem is a health insurance that provides multiple benefits and quality services to its customers. The history of Anthem started off with two separate companies, WellPoint Health Networks Inc. and Anthem Inc. Both companies merged in 2004 and became the nation’s leading health benefits company (Anthem, 2015). “The Anthem brand is built on a foundation of trust – it’s the name consumers are most familiar with as a trusted health care partner through our affiliated health plans” (Anthem, 2015,…

ways that patients receive care and allowing them a variety of affordable care. Under managed care, health insurance plans have a contract with providers and hospitals to provide care for clients at lower cost. Clients who choose to enroll in a managed care plan should also be aware of both the benefits and the drawbacks of those care plans. Criticism/drawbacks Managed care health insurance plans, mostly the HMO 's, focus primarily on prevention, and people with these types of policies pay…

SSA in January of CALENDAR YEAR 2016, as proof of the monthly Medicare Part B premium actually paid for CALENDAR YEAR 2015. If you cannot provide a Form SSA-1099 because you did not receive Social Security benefits in 2015 you must provide official documentation that you paid Medicare premiums in 2015 (a receipt from Social Security, cancelled checks for Medicare premium payment, or similar official documentation). REMEMBER YOU MUST INCLUDE THE RETIREE’S NAME AND FULL SOCIAL SECURITY NUMBER ON…

Health care in the United States has caused a human rights crisis that disadvantages a large number of people. Health care is given by many different organizations as private sector businesses. The United States spent more on health care per capita than other countries. You can see it in its GDP. Some programs that provide healthcare are Medicare, Medicaid, the Children 's Health Insurance Program, and the Veterans Health Administration. America should 've have a pleasant healthcare system in…

nonsurgical treatment, allergy testing and injections, physical and occupational therapy, mental health encounters, prescription drugs, purchase of durable medical equipment, dental care, and private duty nursing. Indemnity coverage gives subscribers the benefit of using whatever health care provider they choose to use. They can choose between hospital-only or comprehensive hospital and medical coverage. Basically they have freedom to see whomever they want, whenever they want, without having…

benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it. Commercial insures is delivered by companies who were created specifically to sell healthcare insurance. Both BCBS and commercial insures have coverage under group policies.…

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…

Introduction Managed Care is a system that manages how the health care market is utilized. Managed Care maintains how the cost, usage, and quality. Managed care is the provider that gives the healthcare market it’s health benefits for government funded programs. The managed care programs are guaranteed payments with most medical facilities. The managed care program is the inside provider that makes sure that all health care business is beginning handled correctly. Managed care program is an…