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Competitive market in healthcare
The use of technology in the medical field
The use of technology in the medical field
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Recommended: Competitive market in healthcare
In this case study, the focus is on Community Health managed by (HMO). HMO serves multiple states, and the region where membership growth in Community Health has been lackluster is the east city region. Despite economic disparities and hardship, a commitment to expand its primary care services to Fair-town, a suburban area of the east city region. This is mostly due to the opening in clinics serviced by Community Health in the area. Fair- town is a suburban area growing in population, and the target of Community Health has set a goal of 3,000 to 6,000 thousand new members over the next two years after the completion of the Fair-town Clinic. Stakeholders to whom Community Health intends to Market The main purpose of opening the new clinic …show more content…
is to create a convenient healthcare location, and capture new membership as well as maintaining existing members.. This marketing plan intends to target people migrating into Fair-town area as well as existing members that currently live nearby within 10-15 miles of Fair-town. This case study indicates that there is a large opening for service providers in in the eastern city, and the Fair-town clinic intends to fill those opening. Stakeholders with whom Community Health should have and develop a relationship are the customers/client, employees and suppliers/distributors expending Fair-town and the city in order to spread the good news about the clinic to every individual and it’s surrounding. The notion of “paying attention to key stakeholder relationships” (Freeman, 1999: 235) is and has been a major theme in the strategic management literature. In fact, superior stakeholder satisfaction is critical for successful companies in a hypercompetitive environment (D’Aveni, 1994). Fair-town city should be able to provide healthcare options for its citizens Environmental Context of Marketing Plan According to study research, any marketing plan that has environmental factors that will play in the success or failure of the venture (Berkowitz) Regulator Factors According to study research, regulatory factors include legal issues and requirements, and in many health care communities, such as Fair-town, programs cannot be instituted without prior government approval. For example, strategies, such as paying physicians for referrals, are illegal, and regulatory factors especially, promotion in community health for the Fair-town marketing plan is necessary to be regulated Social Forces Social forces include demographic and cultural trends to which organizations must be sensitive. An aging population, a changing work ethic, and a culturally diverse marketplace are some of the issues to consider when developing marketing plans. This mean, since the population of Fair-town is growing by leap and bounds, the marketing plan must reflect those demographic factors, such as the promotion of diversity. Technological Factors Technological factors affect few industries more dramatically than they do health care.
It is these technological forces that can change the viability of any service. Until the 1950s, the treatment of polio victims constituted a major revenue stream for many hospital facilities. As we know, this disease was all but eliminated by the technological achievement of the Salk vaccine in the 1950s. This new clinic in Fair-town will be equipped with new medical equipment and tools, and when it comes to providing services to consumers, study shows that they value progressed technological companies especially, when it comes to healthcare choices (Berkowitz ). According to study research, 32% of adults use the internet as their primary source of healthcare information as of 2007, and the numbers continue to rise (Berkowitz). Sharing of information readily available about Community Health and the new clinic in Fair-town will be a complete boost in the marketing plan and the community …show more content…
health. Economic Factors Economic factors include changes in income distribution or fiscal conditions such as borrowing rates that can determine any company’s investment plans.
As will be discussed in Chapter 3, the rising cost of health care has led one major customer group corporations to work more aggressively with their health care providers in seeking solutions to rising costs. Indeed, over the past decades, rise in healthcare cost, has grown by leaps and bounds and this is affectionately due to modern technological advancement in the medical industries as well as the insurance providers, such as Community Health. Having a competition in Fair-town is a good thing to have simply because economic situation will be beneficial to ensure that Community Health is able to provide insurance and care to consumers. Competitive Forces Competitive forces are the final uncontrollable element in any marketing plan. Strategies and programs must be developed in light of this constraint and should reflect the considerations that exist in the marketplace. In order for Fair-town Community Health clinic to grow, it is essential to capture as many memberships from that demographic as possible, simply because competing with employer provided insurance plans could be of a greater challenge, again this information must be reflected within the marketing plan. Target
Markets The targeted market must be both the people migrating to Fair-town, and individuals that are members of Community Health who are currently living in or within 10-15 miles of Fair-town. The new clinic is going to be located within the city limits of the town, which is a good thing, because when it comes to healthcare, conveniences is one of the best things to have as a sick individual. The subtle nature of the target market definition must be underscored when talking about health care. This aspect of marketing is not meant to imply that the organization will deny care to anyone. Organizational Structure Without a doubt, I strongly believe that the organizational structure of the marketing plan will be market driven, and the goal for Fair-town is to obtain 3,000-6,000 thousand new memberships within two years, a situation that entirely dependent on a change in market forces. Indeed, the market is changing, however, due to increase in the population of Fair-town. Community Health is constructing this facility in response to changes in the needs of the market in the area. Since there is competition and availabilities of other health plans, a product driven approach doesn’t make as much sense as reacting to the change in the market climate. References: Berkowitz, E. N. (2010). Essentials of Health Care Marketing, 3rd Edition. [VitalSource Bookshelf version]. Retrieved from http://www.albany.edu/~pm157/research/stakeholders.pdf.
To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must modify its network strategies accordingly to remain competitive in the rapidly changing healthcare industry. Coventry Health Care, Inc and its affiliated companies recognize the importance of developing and managing an adequate network of qualified providers to serve the need of customers and enrolled members (Coventry Health Care Intranet, Creasy and Spath, http://cvtynet/ ). "A central goal of managed care is containing the costs of delivering care, but the wide variety of organizations typically lumped together under the umbrella of managed care pursue this goal using combination of numerous strategies that vary from market to market and from organization to organization" (Baker , 2000, p.2).
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
The purpose of this paper is to examine the status of health care reform implementation in the state of Ohio. Throughout the paper, I will discuss if the health care reform has been effective as well as name some of the positive and negative outcomes. Furthermore, I will discuss how the health care reform is impacting community health. Discussion on the effect of health care reform on the economics in Ohio will conclude this paper.
In order to fully understand the uninsured and underinsured problem that hospital administrators face the cause must be examined. The health outcomes of uninsured individuals are generally worse than those who are insured. Uninsured persons are more likely to experience avoidable hospitalizations, diagnosed at later stages of disease, hospitalized on an emergency or urgent basis, and more seriously ill upon hospitalization (Simpson, 2002) Because the uninsured often lack an ongoing relationship with a health-care provider, they are less likely to receive preventive care and diagnostic tests (Kemper, 2002). Many corporations balance their budget through cost cuts and other moves, but have been slammed with an increasing load of uninsured patients, coupled with reduced payments from government and private insurance programs. In 2000, 564,476 uninsured patients came through Health and Hospitals Corporations health care centers, a 30 percent increase from 1996. In the same period, Congress reduced Medicare reimbursements to hospitals, while Medicaid reimbursements to primary care clinics remained basicall...
With so many structural and financial changes expected in the healthcare market can HCA anticipate a future while adapting and expanding its services and continuing to prosper while it meets the healthcare needs of the community?
Formed in 1998, the Managed Care Executive Group (MCEG) is a national organization of U.S. senior health executives who provide an open exchange of shared resources by discussing issues which are currently faced by health care organizations. In the fall of 2011, 61 organizations, which represented 90 responders, ranked the top ten strategic issues for 2012. Although the issues were ranked according to their priority, this report discusses the top three issues which I believe to be the most significant due to the need for competitive and inter-related products, quality care and cost containment.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
ABSTRACT Technology affects society in every aspect in today’s world. There is not one single industry that has not been affected by technology, but no other industry is more affected than the field of medicine and healthcare. Modern technology has changed the structure and organization of the medical field. With rising health care cost the amount of uninsured people keeps rising higher and higher. With new technology the prices will only continue to rise. There are currently approximately 46 million people without health care coverage and that number continues to climb with rising health care cost. Employers are either no longer able to pay for employee insurance because of the 54 percent cost increase, or they are having to change policies
Many individuals have the opportunity to choice a healthcare organization for their healthcare needs. One in particular is United Healthcare group which provides individuals with the most ideal care. As well as to work to give individuals access to the quality care they require at a reasonable price (UnitedHealth Group, 2015). They give data, direction and apparatuses to individuals to settle on more educated choices about their wellbeing, health insurance and prosperity (UnitedHealth Group, 2015). These choices have deep rooted, once in a while life-characterizing, outcomes. United Healthcare grasp this position of trust and the basic social obligation they need to serve individuals ' medical needs in the United
When promoting primary health care services, there are many factors that must be considered when developing an effective marketing plan. Primary care providers are the gatekeepers of health care in the United States; many patients have to visit them before being referred to specialist providers (Bodenheimer, 2003). They are also being tasked with ensuring patients are receiving preventative services and managing more complex chronic diseases (Akinci & Healey, 2004). Recruitment of primary care physicians is challenging because they are expected to do more and are not being reimbursed proportionally for the added workload (Bodenheimer, 2003). In this paper, a group of primary care physicians in Washington D.C. is looking to research their consumer population base in order to provide them better services and recruit new primary care physicians to their practice (Colorado State University-Global Campus, 2013). A successful primary care marketing plan will recruit quality health care providers while improving consumer accessibility to their services, customer satisfaction rates, and patients’ continuity of care with their health care provider.
Healthcare organizations are designed to meet the healthcare needs of individuals and promote a healthy community. The three healthcare organizations that interest me are: The Heart Hospital Baylor of Plano, Texas Health Center for Diagnostics & Surgery Plan, and Parkland Health and Hospital System. Due to evolving healthcare industry, focusing on just patients and physicians is no longer a marketing strategy. According to Mycek (2015), “Marketing teams need to expand their consideration set and focus on the new 5 P’s of Healthcare Marketing” (p. 1). The new 5 P’s of marketing now impact the marketing potential of healthcare organizations by offering changes in sales rep – physician access, purchasing, formulary decision making, and growing patient empowerment. The new 5 P’s of marketing are: Physicians, Patients, Payers, Public, and The Presence of Politics.
In 2015, companies like HCA and LifePoint have been diligent in cutting cost to increase patient volume. Through cutting costs and adopting new initiatives, for-profits are now beginning to be more preferred for some customers rather than non-profits. Another advantage for for-profit hospitals, and as a result of The Patient Protection and Affordable Care Act a boost in the form of a better payer mix, has suggested a decline in bad debt expenses. Another advantage is the type of facilities for-profits offer, because they are for-profit they are keen in keeping up with technology, current developments in health and medical research and offering state of the are facilities that are technology based to attract
Public Health Nursing (PHN) aims to improve the wellbeing of the population by promoting health and preventing disease among all people in the communities (Public Health Nursing, 2013). The PHN utilizes the primary, secondary, and tertiary prevention to help improve the health of the communities. The PHN process is applied to all levels of practice. Interventions are “actions take on behalf of individuals, families, systems, and communities to improve or protect health status” (Stanhope & Lancaster, 2012, p. 191). This paper will identify PHN interventions such as screening, outreach, and referral and follow-up, health teaching, and counseling that was identified in the PHN in the 21st Century project that this author completed as part of the PHN experience. This paper will also identify if the interventions were at the community, system or individual/family level.
Porter, M. E., & Teisberg, E. O. (2006). Redefining health care: Creating value-based competition on results.