...University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. | |Origin: When was the |What kind of payment |Who pays for care? |What is the access |How does the model affect patients? |How does the model affect providers? | | |model first used? |system is used, such | |structure, such as |Include pros and cons. |Include pros and cons. | | | |as prospective, | |gatekeeper, open-access, | | | | | |retrospective, or | |and so forth? | | | ...
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...University of Phoenix Material Insurance Matrix Directions – Matrix For each type of insurance listed in the matrix, identity three functions, three coverage characteristics, and three companies that offer this type of insurance. |Type of Insurance |Functions |Coverage Characteristics |Companies That Offer It | |Auto | |Comprehensive: Covers damage to your vehicle. You can|Geico | | | |pay for it to cover as much or as little as you care to|American Family | | |Auto insurance covers your car, the car or property of |by electing your deductible. |Allstate | | |someone else involved in an accident. And it will also|Liability: Covers damages to other people’s property | | | |cover any injuries to people involved. |or vehichle. You do not usually have a choice of | | | | ...
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...University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. | |Origin: When was the |What kind of payment |Who pays for care? |What is the access |How does the model affect patients? |How does the model affect providers? | | |model first used? |system is used, such | |structure, such as |Include pros and cons. |Include pros and cons. | | | |as prospective, | |gatekeeper, open-access, | | | | | |retrospective, or | |and so forth? | | | ...
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...University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. | Origin: When was the model first used? | What kind of payment system is used, such as prospective, retrospective, or concurrent? | Who pays for care? | What is the access structure, such as gatekeeper, open-access, and so forth? | How does the model affect patients? Include pros and cons. | How does the model affect providers? Include pros and cons. | Health maintenance organization (HMO) | Example: HMOs first emerged in the 1940s with Kaiser Permanente in California and the Health Insurance Plan in New York. However, they were not adopted widely until the 1970s, when health care costs increased and the federal government passed the HMO Act of 1973, which required that companies that offered health insurance and employed more than 25 employees include an HMO option. The law also...
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...University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. | |Origin: When was the |What kind of payment |Who pays for care? |What is the access |How does the model affect patients? |How does the model affect providers? | | |model first used? |system is used, such | |structure, such as |Include pros and cons. |Include pros and cons. | | | |as prospective, | |gatekeeper, open-access, | | | | | |retrospective, or | |and so forth? | | | ...
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...Material Appendix E Insurance Matrix |Type of Insurance |Functions |Example of Company |Coverage Characteristics | |Auto |The function of auto insurance is to cover your car, |Geico is an example of an auto insurance company. |Auto insurance covers all types of things that concern| | |the people in your car, and any other people or cars | |automobiles and what could happen to the people in the| | |that might be involved in an accident. | |vehicle. This includes bodily injury, liability | | | | |losses, medical costs, property damage cause by the | | | | |vehicle, damage to the vehicle, and stolen property in| | | | |the vehicle. | |Home |The function of Home Owner’s Insurance is to protect |Nationwide...
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...University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. | |Origin: When was the |What kind of payment |Who pays for care? |What is the access |How does the model affect patients? |How does the model affect providers? | | |model first used? |system is used, such | |structure, such as |Include pros and cons. |Include pros and cons. | | | |as prospective, | |gatekeeper, open-access, | | | | | |retrospective, or | |and so forth? | | ...
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...University of Phoenix Material Week 4 Appendix F Insurance Matrix Type of Insurance | Functions | Example of Company | Coverage Characteristics | Auto | Auto insurance covers losses and injuries that may happen to you and your property, as well as, those that you may inflict on others. In some insurance claims it also covers you in instances of uninsured drivers depending on which coverage you buy/carry. | State Farm, Progressive, AAA, Nationwide, Esurance, All State, Geico, Liberty Mutual, and countless others. | Auto insurance covers property damage as well as injury.Injury Part A- This part ensures that you are not liable for legal fees, costs for court, or defense. It also cover’s injuries and damages that may have been caused in the car of a car accident. Part B-This part pays for medical expenses needed for all parties involved.Part C-This covers you against drivers that don’t carry insurance. (Some states require part C. Also, they regulate who pays for injuries, but it is almost always the driver at fault.)Property DamagePart D- This part is optional. The two parts are collision coverage and comprehensive physical damage coverage. | Home | Home owner’s insurance covers: any damages to the building itself from nature, personal property on the premises or off in case of theft, or from yourself being...
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...University of Phoenix Material Health Services and Systems Matrix Choose at least seven services or systems from the following list: • Hospice care • World Health Organization (WHO) • Public health • Rehabilitation center • Department of Health and Human Services (DHHS) • Medicare • Centers for Medicare and Medicaid Services (CMS) • Center for Disease Control (CDC) • Health Maintenance Organization (HMO) • Occupational Safety and Health Administration (OSHA) • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) In the following table, describe each of your choices and explain their functions and roles within the health care field. Your responses should total at least 50–75 words for each choice. |Service or System |Description |Function |Role | |Hospice Care |For people who are on the last end |Help the patient and family |Giving personal care for the | | |to die. Can go from a couple of |transition life stage. |patient. Making the hospice patient| | |hours to leave up to months. | |feel as comfortable as possible. | | | | |Giving prn medication for pain to | | ...
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...University of Phoenix Material Health Care Resources Matrix Research 4 to 5 health care laws related to health care resource allocation. Complete the table below: |Health Care Law |Describe the health care law (75 to 150 words) |Analyze the importance of the law (75 to 150 words)|Analyze the impact the law has on health care | | | | |resource allocation | | | | |(75 to 150 words) | |Affordable Care Act (ACA)- March 23, 2010 |The Individual directive requires all Americans|Affordable Care Act (ACA) or Obama Care is making |The ACA prohibits a health plan from canceling | | |to maintain health insurance. The Employer |health care more affordable and more accessible to |coverage of an enrollee except in the case of fraud | | |directive requires all employers with 50 or |all people. The Affordable Care has provided |or intentional distortion. Before the ACA the | | |more full-time equivalent...
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...also portraying “Oprah Winfrey” on an episode of Jimmy Kimmel Live! in 2009. After the grueling task of rejection began to take a toll and the struggle more demanding, I just recently decided to hang up the towel. I am very honored and nervous about taking another journey in this new chapter of my life. It is now time for me to pay it forward and give back to my community, where in early years, I thought I didn’t have the time! Here’s looking forward to a new adventure and enjoying the outcome of the rest of my life. Congratulations to you all on forwarding your career and best of luck!!!! Axia College Material Appendix E Insurance Matrix Type of Insurance Functions Example of Company Coverage Characteristics Auto Auto insurance is to protect your car when there is a car accident or other unforeseen events. Auto insurance pays for the...
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...Ever Life Insurance Company 2 Mid America Plaza, Suite 200 Oakbrook Terrace, Illinois 60181 (800) 621-9215 Administrative Office: c/o Worldwide Insurance Services, One Radnor Corporate Center, Suite 100, Radnor, Pennsylvania 19087 Certificate of Coverage Global Citizens Association Navigator Group Short Term Medical Coverage Non-Renewable Certificate of Coverage Number: 4EL-5007-14 Effective Date: July 1, 2014 The Insurance Coverage Area is any place that is anywhere in the world. The benefits provided by this Certificate are not subject to the guaranteed renewability and portability provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Insured Person may not purchase insurance for a period longer than the current Period of Coverage. Table of Contents I. Introduction Page 2 II. Who is eligible for coverage? Page 8 III. Definitions Page 11 IV. How the Plan Works Page 21 V. Benefits: What the Plan Pays Page 23 VI. Exclusions and Limitations: What the Plan does not pay for Page 29 VII. Prescription Drug Benefits Page 31 VIII. General Provisions Page 34 Limited Benefit, Please Read Carefully 1 Form 54.1403 I. Introduction About This Plan This Certificate of Coverage is issued by 4 Ever Life Insurance Company (“Insurer”) through a policy issued to the Global Citizen Association. In this Plan, “Insurer” means the 4 Ever Life Insurance Company...
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...University of Phoenix Material Health Services and Systems Matrix Choose at least seven services or systems from the following list: • Hospice care • World Health Organization (WHO) • Public health • Rehabilitation center • Department of Health and Human Services (DHHS) • Medicare • Centers for Medicare and Medicaid Services (CMS) • Center for Disease Control (CDC) • Health Maintenance Organization (HMO) • Occupational Safety and Health Administration (OSHA) • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) In the following table, describe each of your choices and explain their functions and roles within the health care field. Your responses should total at least 50–75 words for each choice. |Service or System |Description |Function |Role | |Hospice Care |To care for a person who is in |To manage the pain and symptoms of |To make the patient as comfortable | | |their final stages of an incurable |the patient when other methods are |as possible who is facing the end | | |disease. |no longer working. |of life. | |Public Health |A science, which deals with |To monitor environmental and health|To educate people about the daily | | ...
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...[pic] Collect Requirements I. Requirements Documentation The project which we pursue is Recreation and Wellness Intranet Project. It provides an application on the current intranet to help employees improve their health. MYH can pay 20 percent more than the industry average for employee health care premiums, primarily due to the poor health of its employees. This application will help improve employee health within 1 year of its rollout so that you can negotiate lower health insurance premiums, providing net savings of at least $30/employee/year for full-time employees over the next 4 years. This application would include the following capabilities: - Allow employees to register for company-sponsored recreational programs, such as soccer, softball, bowling, jogging, walking, and other sports. - Allow employees to register for company-sponsored classes and programs to help them manage their weight, reduce stress, stop smoking, and manage other health-related issues. - Track data on employee involvement in these recreational and health-management programs. - Offer incentives for people to join the programs and do well in them (e.g., incentives for achieving weight goals, winning sports team competitions, etc.). II. Requirements Management Plan 1. Purpose The purpose of requirement management is to establish a common understanding of the technical and non-technical requirements that will be...
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...Table of Contents Executive Summary 2 Introduction 5 Company Background 7 Quality Intitiatives 9 Key Observation Points 11 Comparative Analysis 12 Concluding Remarks 13 Future Recommendations 15 Appendix 17 References 21 Executive Summary Coventry’s roots can be traced back to November 21, 1986, the date the company’s predecessor company, Coventry Corporation, was incorporated. Coventry Health Care, Inc. became a public company in 1991, and is currently listed on the NYSE with ticker symbol "CVH". Since the company’s inception, the building blocks of “The Coventry Model” have remained financial discipline and service excellence. The company’s senior management team has long understood those two objectives need not be mutually exclusive. As an organization, our long-term success depends on the ability to translate our commitment to affordable and accessible health care into real change. We look to four principles to guide us as we strive to provide exceptional value for members, employers, and providers: Easy and Simple Experience Everyone at Coventry is uncompromising in their commitment to ensure that all our customers have an easy, simple, and productive experience – whether enrolling as a new member, refilling a prescription, or filing a claim. Operational Excellence We pay fanatical attention to operational excellence, continually refining the advanced platforms and processes that are essential to what we do: delivering...
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