HSA-5114 US Health Care System:Analysis of Managed Care in USA
Question Preview:For this assignment, you will generate, designate, Organize, investigate and, present a ManageCare Control Cost Plan: Under traditional indemnity insurance, the money follows the patient.Patients select health care providers and visit them as they choose. Providers then bill the privateinsurer or public payer and are reimbursed on a fee-for-service or per case basis.Most indemnity plans attempt to limit demand through financial barriers to the patient, such asdeductibles and co-insurance, rather than constraints on the provider. Many also require thepatient to pay the provider directly and see...
Solution Preview:Healthcare is one of the most important needs in everyone’ life, for every individual hasto maintain his/her health; and for the purpose s/he pays off the bills. But today, the expensesspent on the treatment of human health have increased to a large extent; and it has made itdifficult for a common man to afford the bills of doctors. To resolve this issue, the concept ofmanaged care plans was introduced that is a type of health insurance. The non-profitorganizations, providing managed care, have contacts or hire healthcare providers, i.e. generalphysicians, specialist doctors, etc. to provide quality healthcare at low costs for a fixed annual ormonthly fee to the people registered with them as members.
This report aimed to develop a critical understating of the various accounting software by evaluating the cloud-based accounting software in regards to businesses and then suggest the most appropriate accounting software to a chosen company such as Woolworth. The findings of the current report reflected that the company has key activities like manage, organize, maintain its store staff, develop various strategies for the business, billing for their products, maintain their transactions, and records them and handle their conflicts, etc. Similarly, its other activities related to revenue and expenditure cycle also includes sales and purchase related practices. Moreover, some internal controls are found weak in Woolworth due to which company has risks like segregation of duties, major frauds, poor corporate governance, improper monitoring of managerial opportunistic behavior.