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United healthcare case study
United healthcare case study
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Many individuals have the opportunity to choice a healthcare organization for their healthcare needs, but cannot afford the costs. One in particular is the United Healthcare group which provides individuals with the most ideal care. Individuals are given the opportunity to make the best decisions for their health needs (UnitedHealth Group, 2015). These decisions have profoundly established, a life enhancing positive health outcomes. United Healthcare gets a handle on this position of trust and the essential social commitment they have to serve people 's medical needs in the United States and around the globe (UnitedHealth Group, 2015). The purpose of this paper is to discuss United Healthcare readiness in addressing the healthcare needs of Moreover, this health care organization will have a normal regulatory requirement and empowering innovation will unite and bring together patients, health insurance suppliers, medical advantage arranges and the whole health care division. Valuable data will be available electronically to assists patients to work along with their doctor in their healthcare decisions (UnitedHealth Group, 2015). Proof based pharmaceutical will turn out to be generally acknowledged and reliably worked on, enhancing quality care and controlling expenses. Straightforwardness, execution account-capacity and similar adequacy will be embraced overall healthcare administrations, pretty much as they are in different segments of the economy (UnitedHealth Group, These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any health care demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room, office visits or health care facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
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.
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Grady Memorial Hospital, also simply known as Grady, is the public hospital for the city of Atlanta. It was found in 1892 and is one the largest hospitals in the state of Georgia. Grady has become known for its amazing trauma service. As the hospital website notes, they are the region’s premier level I trauma center (Grady, 2016). While Grady excels at taking care of the critically injured, it still has areas that need some work.
Meeting the changing needs of healthcare today is a challenge for any organization. Meeting the challenging needs of tomorrow is even more perplexing. Centura Health, however, has a strategic plan in place for addressing the health care needs of the citizens in Colorado and Kansas for the next decade. Centura Health 2020 is designed to transform the future of health care for their patients and their surrounding communities. Using three pillars to define their vision, Centura Health plans to strengthen their foundation, move upstream to manage health, and create systems of care. With a focus on wellness and affordable care, their slogan for their strategic plan, “get better, get different” sums up their intentions. With their solid, well thought-out
The John C. Lincoln community that was used for this essay is comparatively poorer than the average, with large immigrant populations and face transportation issues that limit the ability of patient to receive both outpatient and emergency care (Honor Health, 2015). The mission statement of Honor Health is broad and perhaps uninspiring to key stakeholders, as is the organizations vision statement. Honor Health could benefit by expanding their mission and vision statements, thus increasing their value in directing and guiding their future strategic plans and goals. Randall’s (2015) assertion that a great organization is only achievable by having specific, measurable and achievable goals that are linked to the organizations vision and mission is correct; while the flexibility of Honor Health’s statements is interesting, the statements could be improved by being more descriptive and personal to the organization reason for existence and
Healthcare professionals want only to provide the best care and comfort for their patients. In today’s world, advances in healthcare and medicine have made their task of doing so much easier, allowing previously lethal diseases to be diagnosed and treated with proficiency and speed. A majority of people in the United States have health insurance and enjoy the luxury of convenient, easy to access health care services, with annual checkups, preventative care, and their own personal doctor ready to diagnose and provide treatment for even the most trivial of symptoms. Many of these people could not imagine living a day without the assurance that, when needed, medical care would not be available to themselves and their loved ones. However, millions of American citizens currently live under these unimaginable conditions, going day to day without the security of frequent checkups, prescription medicine, or preventative medicines that could prevent future complications in their health. Now with the rising unemployment rates due to the current global recession, even more Americans are becoming uninsured, and the flaws in the United States’ current healthcare system are being exposed. In order to amend these flaws, some are looking to make small changes to fix the current healthcare system, while others look to make sweeping changes and remodel the system completely, favoring a more socialized, universal type of healthcare system. Although it is certain that change is needed, universal healthcare is not the miracle cure that will solve the systems current ailments. Universal healthcare should not be allowed to take form in America as it is a menace to the capitalist principle of a free market, threatens to put a stranglehold on for-...
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
Castro, F., Shaibi, G. Q., & Boehm-Smith, E. (2009). Ecodevelopmental contexts for preventing type 2 diabetes in Latino and other racial/ethnic minority populations. Journal of Behavioral Medicine, 32(1), 89-105.
Managed care, managed care has become the dominant health care delivery source. Gaining popularity in 1990s, managed care increased from 27% in 1988 to 99% in 2009 and enrollment in Fee for Service plans decli...
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.
The case study of the Multistate Health Corporation provides a rather distinct need of adjustment. MHC is a healthcare provider that held more than 10,000 employees in different regions in different countries. MHC was a well of organization until the year of 1989 where the government had implemented significant changes into the system. In addition, the market alone had increased a more competition in means of services provided to relatives to care for their own at home. In other words inpatients was slowly declining whilst the outpatient was increasing. Therefore, leaving the MHC with excessive supply and short of demand.
Ferris Healthcare, Inc recognizes that their growth as organization was depending on their rapid implementation of project management. Their line managers have been performing as project managers, which most of the times resulted on delayed and over budget projects. All employees agree that a project management methodology is necessary in the organization.
This chapter aims to answer the sub-research question: “What is the innovative position of Patient Innovation (PI) and what value propositions can be generated from the innovation?” In order to answer this question, the innovation study follows the framework suggested by Alänge and Lundqvist (2014), which includes an explanation of the platform, the Intellectual Property (IP) protection, current status, next steps, value visions, and competitive landscape of PI. In addition, an explanation about the healthcare system in Norway and the expected impact of PI on it are also presented in this chapter. However, the market quantification and financial plan are presented in the business plan part of this thesis.