...Financing and Structuring Health Care Assignment #2 Nicole S. Wells Dr. J. Queensberry Health Services Organization- HAS 500 April 29, 2012 Assignment #4 Financing and Structuring Health Care There are three main types of health insurance in the United States which can be put into the following categories: voluntary health care (VHI), social health insurance (SHI), and public health care programs. Voluntary health care insurance is private insurance which is employer-sponsored insurance where an employee can receive health benefits for not just themselves but their family as well. An employee pays out a specified amount from their gross income whether weekly, biweekly, or monthly to the insurance provider of their choice. The employer pays a portion of the premium as well. Voluntary health care insurance provides services such as medical, dental, and vision as well as in and out-patient services, office visits, and prescription medicines just to name a few. This type of insurance benefits those whose are gainfully employed full-time. Social health insurance is insurance that is sponsored by the government which can be grouped into two major mandatory programs. The first social healthcare insurance program is workers’ compensation. This program allows for covered medical costs for those who suffer an accident or injury while on the job. It reimburses a portion of lost wages due to the injury or disability while paying medical expenses. The second...
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...Running head: FINANCING AND STRUCTURING HEALTH CARE Financing and Structuring Health Care Health Services Organization- HSA 500 December 15, 2011 Identify and describe the three main types of health insurance in the U.S. The three main types of health insurance are: * Voluntary Health Insurance * Social Health Insurance * Welfare Health Care According to the authors of our textbook (Williams & Torrens, 2010) “Voluntary or private health insurance in the United States can be subdivided into three distinct categories: (1) Blue Cross and Blue Shield, (2) private or commercial insurance companies, and (3) health maintenance organizations” (p. 82). Initially, Blue Cross and Blue Shield were two separate entities. Before merging in the early eighties, Blue Cross provided coverage for hospital services and Blue Shield covered physician services only. The companies under the Blue Cross and Blue Shield umbrella are licensees and operate independently of each other but all offer plans within specific areas of the country. Private or commercial insurance companies are those that provide health benefits to groups or individuals which are paid for by other parties (ex: employers, employees, unions, etc.) besides the United States government. This particular type of insurance can vary in cost and the benefits received; it all depends upon who is paying and what they are willing to cover. Health Maintenance Organizations (HMOs) are companies that manage the care...
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...Financing and Structuring Health Care 1 Financing and Structuring Health Care Lisa Martin Strayer University Professor Tataw July 18, 2011 Financing and Structuring Health Care 2 1. Indentify and describe the three main types of health insurances in the U.S. The main 3 types are the commercial health insurance industry, Blue cross and Blue shield plans and Health Maintenance Organizations. With the commercial health insurance industry there are two distinctions, which are between mutual and stock insurers. Mutual insurance companies, are essentially owned by their policyholders, in contrast to stock insurance companies, which are owned in the more traditional corporate fashion by stockholders. Commercial health insurance companies are either “multiline” carriers or “single –line” insurers. The multiline insurers offer other insurance products like life, auto, homeowners, worker’s compensation, business liability and some offer renters insurance as well. There are some multi-line insurers that also offer a range of financial services, like pension and investment areas. The single-line health insurers offer health insurance ...
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...In recent years our healthcare system has been the subject of much debate and policy change. With the enactment of the patient protection and the affordable care act much of what is known about the healthcare system is changing. This has been one of the most drastic departure from the traditional healthcare systems that we had. Why do we have to change healthcare system? How do we get to a place where healthcare reform and structuring was needed? To answer these questions, we must look back to our history to see how the political system, policies, programs and values have shift our modern health system leading up to the 2010 major healthcare reform to be signed by president Obama. 1900s was the period in which organized medicine took shape....
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...G&V Business Solutions Making Business Happen Professional Proposition Company Brief G&V Business Solutions is a unique international firm that serves as a business accelerator for companies who are looking at setting up activities in emerging markets. G&V- Technologies The uniqueness of G&V is in its capabilities of HANDS ON execution of projects and businesses with analysis and improvement of processes, increasing efficiency and expanding margins. Healthcare The Indian Opportunity 1.2 Billion people and growing One of the 5 largest economies in the world Politically stable democracy Business friendly government Rapid expansion of the middle class 8%-10% annual growth in the next decade One of the 10 best Foreign Investments destinations in the word • Atrocious lack of services and products • Significant growing consumer demands • Paradigm shift towards quality products with international standards Is there is a need for an Implementation company in India? • Despite the huge potential embedded in the Indian markets, Israeli companies experience difficulties in penetrating India • Penetrating India requires a comprehensive understanding of the local business culture, markets, competitors, regulation, legal and financial systems, organizational cultures and a strong and stable business network with valuable business alliances • There is a strong need for an implementation company with vast experience in India for the initial stages of penetration, in sales...
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...6/2/2013 HCA-255 In 1993 President Bill Clinton attempted to enforce The Health Security Act. His efforts to bring universal health care coverage to the United States is one that nearly ended his presidency. The intention of the President was to enhance the healthcare system and to provide universal health care coverage to Americans much like that of almost all other industrialized countries. The Health Security Plan, however, failed. There were both good and bad aspects of the plan but ultimately it was too flawed to even come before congress for a vote. President Clinton had the best of intentions when he attempted health care reform, he wanted to provide universal health care coverage with cost control. He felt that all Americans deserved health insurance and that inflation was skyrocketing and making health care unaffordable and unattainable for many Americans.The core element of the Health Security Plan were to enforce a mandate that requires all employers to provide health insurance coverage to all employees. Besides universal coverage and a basic benefit package, provisions included health insurance reform, regional alliances for structuring competition among health insurance plans, consumer choice of health plans, and provisions for Medicaid beneficiaries. Proposed mental health and substance abuse provisions included coverage of intensive nonresidential services, medical management, evaluation and assessment services, and case management. Initial limitations...
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...Strayer University | Financing and Structuring Health Care | Health Services Organization Dr. Manuel Johnican | | Erica Horton | 1/29/2012 | | | Financing and Structuring Health Care 1. Identify and describe the three main types of health insurance in the U.S. The three main types of health insurance in the U. S. are Voluntary Health Insurance (VHI), Social Health Insurance, and Public Assistance or Welfare Medicine. VHI is consisted of private insurance that people can purchase themselves. Examples are Blue Cross and Blue Shield or Health maintenance organizations that offer different types of health care plans to consumers that are affordable. Social Health Insurance is where the policy holder is pushed to be insured by a third party. (2001) A good example of this is when a government may make all employees participate in a social security program, so employers may make it apart of the job requirements that they participate in the insurance program. (2001) Several employers in the United States make in mandatory that employees carry their insurance or some kind of insurance. The last of the three is Public Assistance or Welfare Medicine. This insurance mainly consists of Medicare and Medicaid in the United States. These programs are federally funded and provide health care coverage to millions of people in the U.S. The Medicaid program and the Children’s Health Insurance Plan provides to almost 60 million...
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...the Second stage short listing of the firms is done on the basis of their business models and other factors. Later the start-ups Pitch for the investments against the Angels / High Net worth Individuals. After getting screened through this process, valuation of the firms is done (Pre valuation and Post valuation). This valuation is based on the expected future cash flows discounted to the present value. Also a possible potential exit strategy to earn the returns is developed. It could be an acquisition or selling to a VC and can exit in cash or hold a part of equity. The project involves in depth understating of the Cloud technology and its potential benefits for the firms which use it. The applications of the cloud in education, healthcare and mobile apps sectors are mapped. Also several revenue models for the start-ups in the sector are to be examined. The...
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...ASSIGNMENT 2 HSA 500 FINANCING AND STRUCTURING HEALTHCARE JULIUS AKINGBEHIN JANUARY 28, 2012 INTRODUCTION For more than seven decades, the United States healthcare system has improve significantly, compared to century ago and more has been done in terms of providing good healthcare an an antidotes to many disease process, this has been able to achieve due to the new healthcare technologies to tackle many diseases that were affecting citizens. In this modern day, it is apparently clear that the healthcare is one of the largest employer of labor according to the text (Williams and torrens, 2010) introduction to health services organization and management. The United States federal government have spent significant amount since the advent of Medicare in the country, in the late 1960s to date and this has rapidly grown to date. 1 – Identify and describe the three main types of health insurance in the U.S. The three main types of health insurance available in the U.S. today are voluntary health insurance, social health insurance and welfare...
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...reviews from various sectors of society ranging from unequivocal support from big business, to downright antagonism from trade unions. What is clear from the document is that South Africa’s current trajectory is not desirable, nor is it sustainable in the long term. The NDP outlines a failing healthcare system as one of its nine “central challenges”. Debate around the world still rages around the private sectors role in delivering healthcare to the masses, especially in developing economies (Hanson et al., 2008). Universal coverage in these countries is virtually non-existent, and it will take strong collaboration between the private and public sector in South Africa in order to provide broad access to healthcare. An extension of this debate is how healthcare should be financed and whether it should be totally financed by the public or private sector (Bennett, Ellias, & Ole, 1994). This paper seeks to explore the potential use of Social Impact Bonds (“SIBs”) in the financing of healthcare projects in South Africa, as well as the potential benefits that may be achieved in mitigating widespread corruption in the country. The NDP highlights the need to analyze the current healthcare system as a whole, which includes the financial mechanisms currently in use, and how they can be improved. SIBs have been utilised effectively in developed economies such as in the United States and United Kingdom, however the first ever pilot project was only launched in 2010 in Peterborough...
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...Assignment #2: Financing and Structuring Health Care. 1. Describe and identify the three main types of health insurance in the U.S. Today in the United States, the three main types of health insurances are as follows: 1) Voluntary Health Insurance (VHI): is a private health insurance currently used for industrial employment. It can be subdivided into three categories, such as Blue Cross and Blue Shield, private or commercial insurance companies, and health maintenance organizations (HMO). Blue Cross was initiated by Baylor teachers in Dallas, Texas who organized to provide hospital care for three cents (Williams& Torrens, 2010). The Farmer’s Union started its Cooperative Health Association in 1929 in Oklahoma. It was the first HMO. 2) Social Health Insurance (SHI): This has two major programs sponsored by the U.S. government. These programs are worker’s compensation and pain- related to job injury, and Medicare. Worker’s compensation is the first type of social insurance enacted in a nation and the vast majority of nations worldwide have some form of industrial accident insurance (Williams& Torrens, 2010). It provides two basics benefits, such as cash replacement of portion of wages lost by disability from work injury, and payment for all or part of medical care. For example, a caregiver had back injury upon lifting a handicap patient at the Nursing Home. Medicare is an insurance program run by the Health Care Financing, a federal agency (Robert H....
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...INTERNATIONAL FINANCIAL INSTITUTIONS ROLE OF GLOBAL FINANCIAL INSTITUTIONS International financial institutions (IFIs) are financial institutions that have been established by more than one country, and hence are subjects of international laws. Their owners or shareholders are generally national governments, although other international institutions and other organizations occasionally figure as shareholders. The most prominent IFIs are creations of multiple nations, although some bilateral financial institutions exist and are technically IFIs. Many of these are multilateral development banks (MDB). WHAT ARE INTERNATIONAL FINANCIAL INSTITUTIONS (IFI’S)? World Bank Group (WBG): * International Bank for Reconstruction and Development (IBRD) * International Development Association (IDA) * International Finance Corporation (IFC) * Multilateral Investment Guarantee Agency (MIGA) * International Centre for Settlement of Investment Disputes (ICSID) International Monetary Fund (IMF) Regional development banks, such as: * African Development Bank (AFDB) * Asian Development Bank (ADB) * Inter-American Development Bank (IADB) * Bank of the South * European Bank for Reconstruction and Development (EBRD) Other regional financial institutions e.g. European Investment Bank (EIB) Export Credit Agencies of individual country governments, such as: 1. US Export Import Bank (EXIM) 2. Japan External Trade Organization Hermes Kreditversicherungs...
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...HBS Europe Research Center (ERC) Update July - December 2013 In this update: - New publications on EADS, Investindustrial, D'O, Siemens, Hg Capital, and Visma. - New completed research project on the transformation of European energy markets. - Ongoing research in General Management, Organizational Behavior, Technology and Operations Management, and Entrepreneurial Management. - ERC case interviews and field research in Austria, Belgium, Denmark, France, Spain, Sweden, and Switzerland, Selected events: Glocoll Program on campus; MBA events in Munich, Frankfurt, Paris and London; the European Area Conference; CSR Conference in Brussels; EAB meeting in Milan; L'Etudiant Conference in Paris; ELC Meeting in Geneva. It is with mixed feelings that we say farewell to our Research Associate, Mr. Karol Misztal. Karol first joined the ERC in 2010, and quickly became a valuable member of our team. We are thankful for his contributions to our organization and, undeniably, he will be deeply missed. Please join us in wishing Karol the very best of luck and success in all his future endeavors. We were also very fortunate to welcome two outstanding Harvard College students to the ERC team for a two-month internship: Ms. Nina Chen and Mr. Roland Yang. We would like to thank them for their great work and we wish them all the best for their future careers! br> And to all of you, Happy Holidays and best wishes for 2014! Newly Released Cases Case study "FX Risk Hedging at...
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...Assignment 2 Financing and Restructuring Health Care Dr. David Tataw HSA 500 Health Services Organization January 28, 2012 Abstract: This paper analyses the Financing and Structuring Health Care by analyzing four important notions. Firstly it Identifies and describe the three main types of health insurances in the U.S. Secondly it explains the three methods for categorizing health insurance in the U.S. This is followed by a synthesis of the pros and cons of managed health care for the health care provider, insurer, and patient. Finally the papers describe the impact of managed care on both the Medicare and Medicaid programs. Identify and describe the three main types of health insurances in the U.S. Rodts (2010) talks about the new Healthcare system in US and the challenges it brings for healthcare providers but there is always challenge when one has to select the certain type of health cover for himself. It is therefore important to understand main types of health insurance in the US. While Hall (2010) outlined the three different types of reinsurances brought about by the health reform, Health Insurance Info (2010) notes that are a number of different types of health insurance coverage designed to meet the needs and budget of a variety of individuals. In essence, health insurance is a risk management tool that ensures you and your family has access to the healthcare you need, when you need it without causing a tremendous financial burden. The cost of health insurance...
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...Financing and Structuring Health Care Strayer University HSA 500 Health Services Organization Mr. David Tataw July 24, 2011 1. Identify and describe the three main types of health insurances in the U. S. The three main types of health insurance in the United States are the commercial health Insurance, Blue Cross and Blue Shield, and Health Maintenance Organization (HMO). The commercial Health Insurance is typically offered by agents or brokers. These insurance carriers’ objective is to make a profit. The commercial health companies are owned by their policyholders or stockholders. Commercial Health insurance is classified by their renewal provision and the benefits it offers to the insured. The coverage includes medical expenses and disability income, which could be long or short term needs. The category of commercial health Insurance companies offer insurance on other property such as home, auto, business etc. (Williams, & Torrens, 2010). Companies that offer a portfolio of services from insurance coverage to pension plan and other financial services are consider multiline carriers (Williams, & Torrens, 2010). Within the commercial health industries, there are companies that are considered single-line carriers that offer health insurance and related employee benefits only (Williams, & Torrens, 2010). Blue Cross and Blue Shield were closely affiliated with the American Hospital Association; their initial focus was on insuring hospitals...
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