Health insurance plans that contract with health care providers and medical facilities to provide care for members at reduced costs are called managed care plans. There are three different types of managed care plans, and can benefit individuals in different ways depending on the coverage options they are looking for. Like a lot of different things, managed care can have positives and negatives. Managed care is where health insurance companies have contracts with health care providers
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HSMA 4075-Managed Care in Health Systems Gynecologists as the Primary Care Physician? Sonya M. Artis September 11, 2008 Gynecologists as the Primary Care Physician? In managed health care the primary care physician has a role that is very significant to the delivery of care. A primary care physician serves as the initial contact for a person with an undiagnosed medical concern and they are responsible for the continuum of care for varied existing medical
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The Economic Issues Simulation Paper is about Castor Health Plans. This health plan was founded in 1999 as a Regional HMO in the state of Pantome. The main purpose of Health Maintenance Organizations (HMOs) is to provide health care services and health insurance to enrollees through a statewide network of hospitals and physicians. The HMOs complete this by using a capitation model in which it pays its large network of health providers. Caster Health plan has thousands of enrollees throughout the state
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emergency response organization. As part of a worldwide movement that offers neutral humanitarian care to the victims of war, the American Red Cross distinguishes itself by also aiding victims of devastating natural disasters. Over the years, the organization has expanded its services, always with the aim of preventing and relieving suffering. Today, in addition to domestic disaster relief, the American Red Cross offers compassionate services in five other areas: community services that help the needy;
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is a regional health maintenance organization (HMO) that provides insurance and health care services to enrollees through its network of doctors and hospitals. Castor Collins offers several different insurance plans that would be beneficial to the employees of Constructit. The insurance plans offered vary according to services provided, cost of annual premium to employees, and utilization of services. Castor Collins has the ability to tailor an insurance plan that meets the health needs of Constructit
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Economic Issues Simulation Understanding Economic Issues for HMO’s Castor Collins Health Plan is a regional Health Maintenance Organization that has been contracted to provide health care coverage for Constructit and E-Editors. Castor Collins has to expand the coverage for another employee group by the name of Dearden. It is Castor Collins Health Plan’s goal to provide the necessary coverage, and still make a profit. At the time of renewal, Dearden’s policy will need to be reviewed and modified
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Alabama Tuberculosis in Nigeria Tuberculosis (TB) is a communicable airborne disease that has no respect of age, gender, color or nationality, and globally, it is a major health problem. This paper will discuss the global importance and economic impact of TB, human and financial resource allocation for TB in Nigeria, health policies and initiatives related to TB in Nigeria, overall progress made and resources not already appropriated that is needed to combat TB in Nigeria. Significance and Economic
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laid the foundation stone of Union Aid for Afghan Refugees (UAAR) as a pioneer organization and initiated its activities in health sector after its establishment in 1997 that formally commenced from 1980 with the prior permission of Govt. of Pakistan. The organization has close coordination with UNHCR, Afghan Commissioner ate, PDH and other NGOs that are serving for the welfare of Afghan Refugees. This organization operated most of its activities by Humanitarian Assistance of the Government &
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The Impact of Globalization on the Health Sector in South Africa After the Apartheid era, massive inequalities in income, health status, access to health care and other social services continued to dominate in South Africa. The Apartheid era was a system of racial segregation that was implemented in South Africa from 1948 to 1994. Due to colonization, whites had ruled South Africa for several centuries, which resulted in the creation of a system that was constructed to serve as a legal framework
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University May 26, 2015 Abstract Smoking is a health behavior that presents a burden of a preventable disease around the globe. Smoking and tobacco use, unhealthy diet, sedentary lifestyle contributes to over one million deaths annually in the U.S only. Although smoking prevalence in the U.S has dropped by half since the publication in 1964 on first Surgeon General’s Report on Smoking and Health, there is still increasing number premature deaths estimated at over 400,000
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