"United healthcare case study" Essays and Research Papers

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    Case Study One Case Name: Pacific Healthcare I. Major Facts Pacific Healthcare is the largest health care provider in Santa Barbara Country. Pacific Memorial‚ Pacific Cabrillo‚ and Pacific Isla Vista along with two nursing homes and ten outpatient clinics are all linked to Pacific Healthcare. Altogether‚ there are over 1‚500 beds. Barney Rubble‚ the Pacific’s corporate director of supply management‚ is in charge of procuring supplies for all Pacific Healthcare subordinates. The director of

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    Healthcare Delivery The state insurance options include both Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). In 2015‚ the total enrollment in Colorado’s forty-four HMOs was 839‚754 (Kaiser Family Foundation‚ 2016). In December 2015‚ the total enrollment for Medicaid and CHP+ combined was 1‚315‚144 (Kaiser Family Foundation‚ 2016). The CHP+ focuses on providing quality care in preventative services‚ acute services‚ and services for chronic illness (Kempe‚ Beaty

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    Sunbeam Healthcare A Business Proposal to Improve Efficiency and Customer Service by Focusing on Teamwork Prepared for Mary Ivyland Senior Vice President‚ Business Development Sunbeam Healthcare Prepared by Manager‚ Call Center Operations Sunbeam Healthcare May 06‚ 2013 Sunbeam Healthcare A Business Proposal to Improve Efficiency and Customer Service by Focusing on Teamwork Executive Summary Background Sunbeam Healthcare is a

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    I am contacting you to express an interest in the chief information officer position at Einstein Healthcare Network. As the IT Director of Applications and Information Systems at the University of Pennsylvania Veterinary School (Penn Vet)‚ my principal purposes are to act as an IT leader in the hospital community and ensure all hospital applications and clinical devices are functioning optimally across two separate campuses. Based on my educational background and combined with my extensive IT work

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    to hire a person for a leadership position they entrust that the person will come into the organization with a strong strategy plan. The manger will be required to make beneficial changes that will help their team and the organization grow. OSF Healthcare is an organization that stands by their culture valves and how they feel that the hospital should be ran. Each employee understands that the main priority of the hospital is patient care and safety. OSF has many core valves that they rely on to

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    discuss policies and actions at my hospital to prevent fraud‚ acting as a CEO of a hospital. No research is needed to tell anyone that the greed of money is the major reason why any sort of fraud occurs. In the healthcare industry‚ physicians‚ hospital administrators‚ and other healthcare professionals commit fraud by receiving kickbacks for unprovided goods and services. According to the Centers for Disease Control and Prevention (CDC)‚ “health care fraud perpetrators steal billions of dollars

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    According to the Tampa Tribune‚ Shands Healthcare paid the federal government and Florida a total of $26 million to settle allegations of false claims to Medicare‚ Medicaid and TRICARE‚ according to a statement from the Department of Justice. The facilities at Shands were billing state and federal health care programs from 2003 to 2008 for inpatient services and procedures that should have been recorded as outpatient care (The Tampa Tribune‚ 2013). The VA had its share of problems as well. The Senate

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    Due to the changing nature of healthcare in America‚ HFMA is always helping its members meet the challenges in the industry by providing certain services. HFMA resources help improve the business caring for finance‚ clinical‚ and operations leaders. Some of the services and functions of the HFMA are: • Creating solid and practical strategies for moving forward • Providing the tools and information for members to stay ahead of fast-moving developments • Connection to the trend and pace setters of

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    To stay afloat in today’s economy‚ healthcare organizations need to reorganize and simplify inefficient processes and understand the types and amount of resources they need to deliver care across the establishment. This can only be achieved by applying effective cost allocation methods to indirect costs‚ including direct allocation and the step-down method. Further‚ in regard to patient-level costs‚ these organizations should practice common cost allocation methods by taking into account cost drivers

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    Healthcare practitioners build a patient’s history through health history effective communication to provide quality health care. Therefore‚ the success of diagnosis emanates from effective communication with the patient. This paper seeks to discuss the potential health-related risks and a description of the interview and communication techniques for a 76-year-old Black African-American male with disabilities living in an urban setting. The health-related risks would entail the patient’s environmental

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