Integrated delivery systems

Assignment Help Business Management
Reference no: EM132906456

Scenario: A patient is confused about how to make payments for a recent visit to urgent care and hospital stay. Her insurance provider website allows her to use her HSA account to make a payment online. She uses her HSA debit card to make the payment, but her insurance provider sends her a check instead of sending it to the Tri-City HealthCare Agency. After contacting her insurance help desk via the website, she is told to send the check to Tri-City HealthCare agency herself. The patient asks the insurance provider help desk representative why they can't just make the payments for her. She is told about the various payment types and payers in the healthcare industry and how the market influences the integrated delivery systems in the industry.

After reading the scenario, answer the following in a separate document:

1. Describe the payer systems mentioned in the case study.

2. Explain how the market forces have influenced the need for integrated delivery systems.

3. How might the insurance provider explain the payment system they utilize for their clients? Explain if this method is effective or not for their clients.

4. What might be the most significant legal and regulatory effect on managed care organizations?

Reference no: EM132906456

Questions Cloud

Performance of stock market : How does the performance of the stock market over the last month compare to the performance of the 2008/9 financial crisis?
Prepare in good form a single- step sci by function : Prepare in good form a single- step SCI by function within the enterprise. Loss on operations of discontinued business segment 20,000
Define any two elements of the organizing function : Identify and define any two elements of the 'organizing' function?
What is the present value of the business : If the cost of capital of your business is 10%, and if the company reaches long-term growth by year 3 (at 5%), what is the present value of this business?
Integrated delivery systems : Explain how the market forces have influenced the need for integrated delivery systems. Describe the payer systems mentioned in the case study.
What makes a great leader : What makes a great leader? What is the differences between a leader and a manager. What characteristics, activities, and responsibilities are associated with ea
Describe the qualifying criteria for a successful roll-over : Calculate the amount of gain arising from the building sale that is rolled over and describe the qualifying criteria for a successful roll-over relief claim.
Discuss how equilibrium price and quantity change : Discuss how the equilibrium price and quantity change when a change in demand occurs and the supply stays constant, and when a change in supply occurs
What are the potential reporting biases : Who is (are) the major user(s) of the financial statements and what type of decisions do they have to make based on the financial statements?

Reviews

Write a Review

Business Management Questions & Answers

  Caselet on michael porter’s value chain management

The assignment in management is a two part assignment dealing 1.Theory of function of management. 2. Operations and Controlling.

  Mountain man brewing company

Mountain Man Brewing, a family owned business where Chris Prangel, the son of the president joins. Due to increase in the preference for light beer drinkers, Chris Prangel wants to introduce light beer version in Mountain Man. An analysis into the la..

  Mountain man brewing company

Mountain Man Brewing, a family owned business where Chris Prangel, the son of the president joins. An analysis into the launch of Mountain Man Light over the present Mountain Man Lager.

  Analysis of the case using the doing ethics technique

Analysis of the case using the Doing Ethics Technique (DET). Analysis of the ethical issue(s) from the perspective of an ICT professional, using the ACS Code of  Conduct and properly relating clauses from the ACS Code of Conduct to the ethical issue.

  Affiliations and partnerships

Affiliations and partnerships are frequently used to reach a larger local audience? Which options stand to avail for the Hotel manager and what problems do these pose.

  Innovation-friendly regulations

What influence (if any) can organizations exercise to encourage ‘innovation-friendly' regulations?

  Effect of regional and corporate cultural issues

Present your findings as a group powerpoint with an audio file. In addition individually write up your own conclusions as to the effects of regional cultural issues on the corporate organisational culture of this multinational company as it conducts ..

  Structure of business plan

This assignment shows a structure of business plan. The task is to write a business plane about a Diet Shop.

  Identify the purposes of different types of organisations

Identify the purposes of different types of organisations.

  Entrepreneur case study for analysis

Entrepreneur Case Study for Analysis. Analyze Robin Wolaner's suitability to be an entrepreneur

  Forecasting and business analysis

This problem requires you to apply your cross-sectional analysis skills to a real cross-sectional data set with the goal of answering a specific research question.

  Educational instructional leadership

Prepare a major handout on the key principles of instructional leadership

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd