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Unitedhealth Group Case Study

305 Words2 Pages
UnitedHealth Group (UNH), incorporated on 25 January 1977 and headquartered in Minnekota, Minnesota, is the leading health insurance provider in the United States. It operates in all 50 American states and in over 125 other countries. The company offers a broad range of products and services through two primary business segments: UnitedHealthcare and Optum. These segments have four divisions namely UnitedHealthcare, OptumHealth, OptumInsight and OptumRx.

Strategy
UnitedHealth’s mission is to help people live healthier lives and help make the health system work better for everyone. The company’s operations are designed to generate growth and add value through the following:
• Reduction in cost of providing health benefits
UnitedHealth started
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He began this task by first re-building the captive distribution agency attached to the company, USHEALTH Advisors. He saw tremendous successes in his complete reconstruction of USHEALTH Advisors, eventually leading to his election as CEO and President of USHEALTH Group, Inc. only four years after he had first joined the company. During his time as CEO and President, USHEALTH has seen unprecedented growth, massive success, and increasing profitability in the exceptionally competitive and hostile field of individual health insurance. (-- removed HTML --) What is USHEALTH?

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United Healthcare individual health insurance plans are under different names in different states such as golden rule, United Health one, PacifiCare and America Medical Security. This insurance cover is designed to fill gaps in coverage for up to six months at a time. It is mostly suitable to an unemployed person who either lost a job or recently graduated from college and also to someone who is taking early retirement would benefit from this plan as well. There are several deductible levels offered for a short term insurance.

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You very well explained both the plans in an organized way. Under Tricare for Life, enrollees in Tricare who are sixty-five and over can continue to obtain medical services at military hospitals and clinics as they did before they turned sixty-five. However, Tricare beneficiaries entitled to Medicare part A based on age, disability or end-stage renal disease are required by law to enroll in Medicare part b to retain their Tricare benefits.

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Introduction A company’s success is measured by how well it is structured and organized in order to adapt to the changes in environment as well as the changes within itself such as the company’s scale, employees, product scope, etc. Having a suitable, well-structured organizational frame will not only increase the chance of being success but also prolong the company’s lifespan compared to an un-structured one. It is important to note that an organization’s structure needs to fit in with the current situation and does not necessarily required remain unchanged over time. Taking Dynacorp as an example, even though its functional structure contributed to the vast growth of the company at the start, its limitation in dealing with the changes within

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What would happen to your thoughts and system responses if the narrative changed when discussing costs and savings? For example, what is the savings metric given the hidden costs to anyone with health insurance prior to ACA? Anyone using their insurance or visiting a hospital, given hospital pass through costs due to their need to treat uninsured people, especially uninsured who waited too long to get treatment because they could not pay? What is the potential monetary savings metric given a shift to either a public or private single payer system? Why are we paying for multiple administrative structures when a single system would potentially be less expensive and more efficient?

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Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.

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To first answer your question about integrated health care systems in the U.S.; the answer is yes, there are some integrated health care systems available with all three delivery methods under one administration. An article titled “100 Integrated Health Systems to Know” listed out 100 of the most successfully integrated systems (Rodak, 2013). Kaiser Permanente is one such system. Considered the world’s largest not-for-profit integrated delivery system; Kaiser was founded in 1945, and currently serves 10.2 million people. It is based in Oakland, California but provide both insurance and health care services to patients across 8 states and the District of Columbia (Overland, 2013).

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Certainly, I'd be happy to provide examples from the current US healthcare system to illustrate each of the six strategies: Promote integrated care delivery: One example of integrated care delivery is the patient-centered medical home (PCMH) model, in which primary care providers coordinate care across different settings and specialists to provide comprehensive and patient-centered care. Implement payment reforms: One example of payment reform is the shift towards value-based payment models, such as accountable care organizations (ACOs), which reward providers for delivering high-quality care at a lower cost. Invest in information technology: Electronic health records (EHRs) are a prime example of healthcare IT, which can help providers access

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These individuals are unaware of the benefits of free UHC that far outweigh the disadvantages. Although none of the numerous free health care systems around the world are perfect, America can use them as examples. In the modern Western world, the United States stands out as one of the few countries without some type of national health coverage plan. Countries like Canada, the United Kingdom, and Germany all have different forms of government-run insurance that cover various medical fees (“Foreign Countries with Universal Health Care”).

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With Donald Trump’s presidency, Republicans are trying to replace Obamacare, which could be both beneficial and harmful to health care providers like UnitedHealth Group. Millions of Americans are insured through Obamacare, therefore if it were taken away, there would be more exposure for health care insurers such as UnitedHealth Group. The abolishment of Obamacare could be beneficial to the company because it would permanently eliminate the Health Insurance Industry Tax, which could overall save UnitedHealth Group millions. On the other hand, since the Affordable Care Act was launched in 2010, Medicaid has been one of UnitedHealth Group’s largest money-makers.

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Healthcare organizations (HCOs) face a number of difficulties within its organization each day, including patient acquisition and patient retention. It is commonly believed that getting individuals to their healthcare facility is the most challenging aspect that HCOs face. Of course, new patient acquisition could be a challenge without an efficient marketing strategy, but the challenge does not stop there. One of the biggest challenges for many practices today is maintaining a high patient retention rate. Pushing a patient from a one-time-visitor to becoming a frequent visitor of a specific healthcare organization involves much more effort than expected.

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Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,

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Reflection Journal on the Ethical Responsibility of Healthcare Leaders. 1. As a healthcare leader, what are the appropriate steps to take if you need help on a project? As a healthcare leader, the appropriate steps to take if I need help on a project are: a. Learn to recognize an error: identify the error, notify stakeholder who can assist.

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As a physician, you may want to strike out on your own or grow your medical practice for a variety of reasons, ranging from wanting to control your own destiny, having more time with your family, diversifying, to increase your income. While you have the clinical skills to be successful in your own medical practice, you hesitate because of the daunting task of determining the feasibility of a medical practice startup, medical practice expansion, merger, or acquisition, of a medical center or practice. Based on Sector One Healthcare Group’s thorough research and analysis, as medical practice consultants, our feasibility studies provide you with the detailed information necessary to make realistic decision, and the confidence to move forward

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In a company Human Resource is a very important part of the strategic plan. The HR department is the go-to when a company decides how to approach a problem or gain Ideas. If there needs to be hiring, the HR department will take care of it. They will provide the proper training and tools to achieve the organizations goals. There must be a strategic plan put in place that way everyone is on the same page internally within the company to be successful outside of the company.

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