Health Insurance Case Studies Samples For Students

Solving Medicare crisis

Medicare a communal insurance program offers health insurance coverage to people aged 65 years and above, people who meet a special criterion, permanently disabled people and individuals who have a congenital physical disability. The United States government administers the Medicare program. Medicare covers over to 40 million elderly and disabled people. Over the past few decades the program has helped, the program has helped countless retirees and disabled people stay health thus saving countless lives. This paper provides an in-depth discussion about the crisis facing the Medicare health insurance program.

“Is Medicare in a state of crisis?”

Over the last few decades, the Medicare health insurance program has been ...

40 questions answered from two different books.

Health Care Ethics Principles and Problems (Medical Ethics)

Chapter 1
Briefly describe the differences among ethics, professional ethics and health care ethics.
Ethics is concerned with the way people ought to live their lives. It must not be confused with religion even though they may tend to advocate the same values. However, ethics are distinct interrelations among human which can be considered acceptable or unacceptable.
Professional ethics embody regulations pertaining to how persons function within a discipline. It specifies right and wrong actions based on morality. It does encompass principles of being, but the authors of this text ...

There are many types of insurance that are available nowadays. Most of the, however, are reduced to following ones: life, health, auto (vehicle), deposit, property, etc. insurances. (Kunreuther,1996, pp. 35-62 ) The choice you make about insuring something is doubtlessly an exceedingly important choice of your life – what does it depend on?
First off, it depends on the financial situation you find yourself in, possessions you have and risks that you might face. In the present assignment we are to analyze the financial situation of Sally Chan, a Senior Creative Director, living in Malaysia and on the basis of ...

The Oregon Healthcare Plan (OHP) was a brainchild of an emergency room doctor who is also the current governor of Oregon, John Kitzhaber. It is Oregon’s state Medicaid program. It was designed to expand health insurance to Oregon’s low income residents while rationing benefits. It was intended to simultaneously expand coverage costs and to foster provider participation. OHP is a public and private partnership to ensure that Oregonians have access to healthcare. The major components of OHP are high risk medical insurance pool, Medicaid reform and insurance for small businesses. Additionally, the Oregon Health Plan includes provisions for oversight, ...

Introduction

Health care is the most important and basic commodity in which an individual needs. Therefore, in order to maximize utility one has to be rational when making a choice. Managed companies’ specializes in the supply of both health care and health insurance. This enables them to both incur costs when it provides the health care service and also earn revenue on provision of health insurance. This goes along way in ensuring that the firm maximizes its profit in order to achieve the long-run goal. The analysis will put into consideration the simulation of Castor Collins Health plans which will be ...

Overview

The current case once again brings to light the countless flaws in the prevailing Indian healthcare system that is plagued by shoddy practices, including unavailability of proper infrastructure, along with the callousness and disenchantment of the medical practitioners and the staff in general both towards the medical profession and the patients, that manifests itself into decreased morale and increased turnover and absenteeism rates amongst them. With the needle this time pointing towards SR Hospital, a middle-class government hospital in Kerala (India), the case tries to briefly talk about the current financially debilitating state of the medical establishment, which again is ...

PHIL 434 Medical Ethics

Short answers 3 point seach
What is medical tourism?
Medical tourism is “where patients travel overseas for operations and various invasive therapies.” (Connell 2006, p. 1093).

What are 3 reasons people choose surgeries/procedures in other countries?

1. Economics – Even with health insurance, many procedures can be performed
for a fraction of the cost overseas.
2. Quality of care – quality of care is increasing around the world to the
near equivalent of Western countries.
3. More options- Even with health insurance, many patients find their health insurance companies limit the kinds of procedures they are able to receive.

What is the commoditization of care?

Turning health care into a commodity that is undifferentiated from other competing ...

The United States is regarded as the largest national economy of the world in its nominal terms, and in accordance with its purchasing power parity, it is the second largest (Henderson, 2014). The GDP of the country in the year 2015 was 17,947.0 billion dollars (Bureau of Economic Analysis, 2016). Whereas China is regarded as second largest economy of the world in terms of nominal GDP, and the largest economy of the world in terms of purchasing power parity (Lei & Yao, 2008) . Further, according to Tse (2010), China is the fastest growing economy in the world. The industries ...

Patient Protection and Affordable Care Act (PPACA) better known as Obamacare is a federal statute that was signed into law in early 2010. Under this Act health institutions as well as physicians would change their clinical, technological and financial practices to improve health outcomes, lower healthcare costs and ensure accessibility to health services. The act is aimed at increasing affordability and quality of health insurance, lowering the uninsured rate and reducing healthcare costs to both the government and individuals through the expansion of private and public insurance. However, it is impossible to support the scheme unless the underlying challenges ...

The goal of writing this paper is to be able to give out information in regards to the United States Department of Labor (DOL) website. Also, this Website conveys the most current rules and federal participation concerning everything about the benefits of employees. Additionally, this report gives a description of the features of this whole website and the explains the way each feature is able to be utilized to look at the benefits of the employee. And in detail putting the emphasis on the way the benefits are able to agree with every one of federal laws. What is more ...

Abstract

A lot of effort has gone into research in the field of marketing. There are numerous scholarly and peer-reviewed articles available in the print and electronic media today. What makes this paper so interesting is that it juxtaposes a number of papers written by eminent personalities who have contributed to making our understanding of the subject more reasonable. On the question of who would be a better professional sales person, Barrows (2007) talks about the dynamic market forces such as global competition, changing customer expectations, and new communication technology necessitating the need for a more knowledgeable person, while Ichniowski et al. (1996), ...

Most people assume that the capacity to endure hardships and extreme situations is inexhaustible for soldiers. However, while it is in fact hard to break them, some of the experiences these service men get while in combat remain last as dark, disturbing memories. During warfare operations, service men are exposed to life-threatening events where some narrowly escape with their lives. Such experiences may include car accidents, explosions and enemy raids among other events that are characteristically deadly. In result, when exposed to such experiences, service men experience polytrauma among other forms of psychological conditions. Polytrauma refers to the resultant ...

As Chief of Staff, my assignment is to create a response for you on the topic Medicare Crisis. I understand that you have been requested to take an interest in a board dialog and give a reaction concerning the Medicare financing crisis. The board examination will concentrate on the proposition of diminishing Medicare uses by enlisting members in HMO's. The National medical coverage framework for Americans started back with President Teddy Roosevelt, his stage when he kept running for president in 1912 included health care coverage. Roosevelt's thought for a national health arrangement was put on hold until U.S. ...

Abstract

In 2009, the US government slashed Medicare reimbursements pushing over two-thirds of health care providers into losses. Medicare reimbursements are expected to increase in the future albeit more slowly than the rise in the cost of providing quality health care. The challenge for BSA is to be able to align its costs in a way that they are able to deliver quality health care at a much lower cost. The key is to measure both the cost and the outcomes of the health care. There is need to establish an accurate system of measuring costs, as well as to ...

The case is about Gerald who had a health insurance cover that had an 80/20 copayment arrangement. When Gerald received a surgery bill of $950, he wanted to ascertain that the insurance company actually paid $760 or 80% of the total bill. A copayment plan requires patients to pay a portion of their medical bill in accordance with a pre-agreed ratio (Chang, 2014). Upon investigation, Gerald discovered that the insurance company had negotiated for a discount and their part of the bill was only $374. However, Gerald Copayment of 20% was still based on the original fee and not ...

- In most of these countries, does universal coverage provide the gold standard of care?

Universal coverage is provided by the state to its residents. In most of the countries, universal health coverage is funded through public and private funds. Also, private insurance and care are available for those who opt to pay. However, universal health care coverage in many countries does not provide the gold standard of care (Basch, 2006). In Canada, universal coverage is financed by both value added and income tax. Nonetheless, many residents have private insurance to allow them access fast and scarce services and pay costs not catered under universal coverage. Further, health care system in Canada experiences a shortness ...

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 years old Sex: Male
Subjective Data:
Patient was admitted for complaints of decrease urinary flow. In addition, patient also complains that he has been experiencing severe symptoms of what he had been experiencing for more than two years already. Patient complains that for the past 2 weeks he has had increased nocturia, associated with decreased strength of urinary flow and slight terminal dysuria.

HPI (History of Present Illness):

According to the patient he has had the same symptoms for more than two years. However, for the past two weeks, the patient’s symptoms seemed ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 60 years old Sex: Male
Subjective Data:
HPI (History of Present Illness): Patient has already been experiencing similar symptoms for the past two years. Similar symptoms of decrease in urinary flow, however, of a much lesser degree of severity.

PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations):

Patient has been previously diagnosed with hypertension and hypercholesterolemia. Client was also hospitalized five years ago for assumed angina but was overruled after. Patient is under maintenance medication of two drugs, specifically Cardizem 240mg and Zocor 20mg both taken once daily. Patient denies any medication allergy.
Significant Family History: Patient has ...

Discharge Planning Case Study

Discharge planning is an essential activity in the preparation of consumers for the transition from hospital to home settings. The efficiency of the process for patients living with mental health problems can influence the number of future rehospitalizations in acute-care facilities as well as their quality of life in the community (Nurjannah et al., 2014). This paper will address the discharge planning process for a 48-year old patient called Margaret who had been treated for an anxiety disorder at a local hospital. According to the history, she had been referred for assessment by her general physician due to a history of withdrawal ...

Introduction

Nigeria is one of the fastest growing economies in the world. It is growing at a rate more than 8% for the last decade. But Nigeria also has one of the highest percentages of poor people in the world and the percentage of poor population is continuously increasing. The growth curve of Nigeria is unable to improve the lives of the poor and destitute. As it happens in many developing countries, the mainstream financial institutes in Nigeria completely exclude the poor population from having any access to the financial system. This makes their daily living a perpetual struggle with poverty as ...

Introduction

In the period of the last five decades, the United States has documented a major reduction in the rate of infant mortality. Previously in 2003 the mortality rate has been 26 deaths in every one thousands birth. By the year 2007, the death rate was approximated at six deaths in every 1000 births (Gannaro, Shults & Garry, 2008). Various programs have since then been initiated with a major aim of reducing the rate of infant mortality. However, there is still some disparity when it comes to the mainstream population representatives in comparison to the minority populations especially in the case of ...

Abstract

Cultural sensitivity is an issue that is central to health and ethnicity, and also to creating programs for disease prevention and health promotions for varying ethnic and racial populations. The rationale, under which programs for promoting health are build, is based on three basic observations; the varying patterns in the predictors of the behaviors of health, different groups show; the differences in the rates of disease prevalence as indicated by various ethnic and racial groups; and the patterns exhibited by the same groups in the prevalence of risk factors imposed by their behaviors. The differences between the prevalence rates ...