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Benefits of employer offering health insurance
Benefits of employer offering health insurance
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Health insurance is very important in life. It is for this reason that insurance companies have designed different types of insurance as a strategy to provide services to all categories of people. Before purchasing insurance for an organization, there are considerations that should be put in place in deciding the best insurance for the employees. One of the most important factors is the number of employees. The mode of employment also matters, such as whether employees are full time or part time.
Considering that the organization has 50 employees, it can be classified as a small business. The best criterion to use for purchasing insurance plan is the Small Business Health Option Program (SHOP). According to Kitces et al. (2013), small business
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In this case, the best insurance plan is the Preferred Provider Organization (PPO) plan. PPO plans are good because unlike other plans, no referral from a primary care physician is required in order to obtain any kind of benefits for any services one may need from an in-network specialist. One can be allowed to get services from a doctor of his/her own choice. However, charges for outside network doctors are slightly more than on network doctors. A special case arises when the illness is serious. One can be allowed to go to any nearest medical facility even when out of state and yet the higher out of network deductibles will not be charged. There are also considerations put in place for people who have some special kind of life styles such as smoking, drinking or even age. For those who smoke, it is conceived that they have high chances of getting illness and therefore there charges are slightly higher than the non-smokers. Another thing to note about this plan is that one will be required to pay for an annual deductible before the insurance provider begins to cover the medical bills. Some services may also require the employee to chop in some amount of about $10 to $30 to contribute a certain percentage of the overall medical bills (Roemer, M. I., & University of Michigan, …show more content…
It was set out to monitor the premiums that insurance companies offer and moderate them so that every citizen gets access to the services. There are exchanges that were established for people who cannot access health insurance from employers. In choosing insurance plans for employees, the employer must ensure that the employees can afford the premiums and also must ensure that the plan includes the most important medical services for the employer.
There are several advantages of purchasing health insurance for employees. The first one is that it helps an organization to recruit the best employees and retain them (Editors of Salem Press, 2014). There are several benefits that an employee gets when the company pays for medical bills. This makes the company more attractive to other potential employees and thus enabling the company to recruit the best and retain those already employed. When employees are offered insurance, they tend to be happier and more comfortable at work and therefore creating a good working
Have you ever went without health insurance between jobs, or while working part time or because you just couldn?t afford it? No having health insurance is a big risk in a time where medical costs are sky high, Prescription drug prices are outrageous and when your paying your family doctor $50 for a office visit. Fifty dollars represents a full 8 hours of work for many Americans.
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
“Americans without insurance coverage will be able to choose the insurance coverage that works best for them in a new open, competitive insurance market – the same insurance market that every member of Congress will be required to use for their insurance. The insurance exchange will pool buying power and give Americans new affordable choices of private insurance plans that have to compete for their business based on cost and quality. Small business owners will not only be able to choose insurance coverage through this exchange, but will receive a new tax credit to help offset the cost of covering their employees.
This could be controversial, if older, sicker people who need the coverage most enter the market, but younger groups decline to do so. The insurance pool will be unbalanced and the cost of coverage will rise correspondingly. The process of choosing a health insurance provider should be more consumer friendly. People covered by their employer can clear their doubt about health insurance by conversing with the Human Resource department, whereas people who buy through marketplaces or health insurance exchanges, as in the case of ACA, may not have any resource to give further explanation.
They really look out for the best for the patient and make sure that they are receiving the best quality of care by their physicians. One major benefits of managed care is that they have lower costs for you as the patient. You typically think that if you pay less you are going to get less, however with managed care they want you to pay less but still receive the same quality of care. Managed care plans keep the costs down by contracting with providers and referring these providers to their patients. Employers tend to lean towards these types of benefits. That is why many employers have switched to managed care plans (Cyrene, 2015). Under most managed care plans, they encourage their patients to get annual preventive physicals and get early treatment when sick so it doesn’t progress into something more (University Human Resources, 2015). For patients under managed care plan providers are always readily available to them. All these healthcare providers are all credentialed (Cyrene, 2015). Managed care plans also lower the prices on prescriptions for their patients as well. Managed care plans typically lean towards providing the generic prescriptions and lowering their copays too (Jackson,
With implementation of healthcare reform, steps are being taken over the next several years to insure all American’s. Starting in 2014, a new resource called an Exchange will be available. According to HHS, a healthcare exchange will “provide a transparent and competitive insurance marketplace where individuals and small businesses can buy affordable and qualified health benefit plans”...
The intent is to create a healthcare system where health insurance coverage is available to everyone. Coverage is through a joint effort of the government, employers, and individuals. A disparity in coverage often occurs within vulnerable populations. This includes children, unemployed and retired individuals, along with their families. They are more likely to have limited access to healthcare while having an increased need for medical services.
...only one underlying purpose and that is to increase profits for the company and shareholders. Corporations have taken the position that there is a profitable benefit in having life insurance policies in the name of their employees. Corporations are just maximizing their position by looking at all legal resources that the corporation has at its disposal. As an employee you are receiving some sort of benefit from the corporation such as a salary, medical, dental, profit sharing, 401k plan and any other benefit that is offered. I don’t believe that corporations always do the right thing in regards to their employees but, I also believe that employees have come to believe that they are entitled to more than what is already offered to them. As an employee you do have a choice on whether or not you want to continue to work for any corporation that behaves in this manner.
Then came the question, should the employer be the one responsible for providing health insurance. While everyone on the panel could agree that our health care system in 2008 was broken, most seemed opposed to the alternative solution of universal healthcare. There is an incentive to the company to offer health insurance to a human being that may receive the opportunity to receive health insurance from another company. However, taking health insurance responsibility away from the employer and making it the government’s responsibility would increase availability and possibly eliminate freedom of
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS). `The information management system in a managed care organization is determined by the structure of the organization' (Peden,1998, p.90). The goal of a managed care system is to provide subscribers and dependants with needed health care services at the lowest possible cost. Certain managed care plans also focus on prevention by trying to keep members healthy.
Most people rely on their employers to provide them with health insurance, but with many health care is not available through the employers. Many small businesses can simply not afford the high cost of health care, or it may be available, but the employee needs to pay the entire premiums. A lot of employers are utilizing part time employees, the part time employees are usually not qualified for benefits, like health insurance. This is very unfortunate for these part timer’s not only because they will not get benefits such as health insurance, but also they probably have a slim chance of going full time because of the health insurance dilemma. Business owner’s need to assess what is good for them financially, and having plenty of part time employees who do not require insurance is probably the most cost effective method to keep the Business up and running.
There are a variety of options chosen that determine an individual’s insurance premium. One option in determining cost are the controllable factors individuals choose when...
The steady rise of healthcare costs and the ever increasing cost of health insurance premiums are making it harder and harder for employers to pay healthcare premiums for their employees. In the past, it was almost a given that employers picked up the tab for health insurance coverage. The health coverage was usually exceptional with little or no money paid out of pocket by the individual for the insurance premiums. Those appear to be the “good old days”, with fewer and fewer employers shelling out money for health insurance premiums and demanding a larger percentage to be paid by the employee. Other employers are simply unable to financially provide healthcare coverage for their employees and have stopped all together.
From the hospital perspective mandating the health insurance will reduce the problem of Free riders into the Hospital and if a person who is insured visits the hospital for the treatment the cost of his medical treatment will not be totally absorbed by the hospital if the person is unable to pay for the treatment and the amount will be shared between the hospital and the insurance company.
The purpose of ACA implementation is because many people are uninsured due of various reasons, some of the reasons are financial hardship, pre-existing conditions, and work status. The most effective solution to these issues was to formulate