Base this discussion on the Problem on page 261 of your text labeled “Choosing Health Insurance”. Defend your plan selection with material from the text.

From what you have learned so far, which of the following insurance plans listed below do you personally prefer, assuming each one costs the same? Defend your choice (both your selection and rejections) with reasons drawn from these readings:

• Plan A: Covers the full range of medical care, subject to standard medical necessity or experimental exclusions, without any deductibles or copayments, but you must receive all care at an HMO clinic where doctors are paid a bonus for saving money.
• Plan B: Excludes mental health and preventative care, and the rest is subject to a $200 deductible and 20 percent copayment up to a maximum of $1,500 per year. Your choice of doctor, but all expensive treatments must be submitted for prior approval by the insurer to determine medical appropriateness.
• Plan C: Covers the full range of medical care, with no major exclusions and your choice of doctor, and no prior authorization requirement, but subject to a $3,000 deductible.
• Plan D: Coverage is defined in an approach similar to the Oregon plan, only using 5,000 specific categories of inclusion and exclusion taken from the latest practice guidelines based on medical research, as selected by a national panel of politically appointed experts. No other restrictions or financial limitations.

Direction:

Write no more of 300 words or 1 page 

APA style references

Ref:  

Hall, M. A., Bagley, N., & Orentlicher, D. (2018). The Law of Health Care Finance and Regulation (Aspen Select) (4th ed.). Wolters Kluwer.

1 page answer to

Please respond to the following:

Take a position on whether or not the CIO should develop reasoned responses that are driven by the company objectives. Explain your position.

• Explain how IT strategy facilitates organizational decisions that are related to the forces that shape the role of IT within an organization (consider domestic and global environments).

plus please provide a paragraph response to the following answer from another student.

I believe they should develop reasoned responses that come from the company objectives.  This is just another way that the IT department can show that “value” all companies are looking for.  By making sure the team is in line with current/future objectives, shows that they are working towards helping to drive that change in a company instead of just trying to maintain the norm.  This is how IT increases their budget and improve their equipment by showing the company that they are onboard for this new objective but this is the way we do it right so we maximize the potential of the company (Express, 2021).

The best way to start with trying to facilitate the decisions of your company is to keep security in mind.  There are several reports that can be referenced to aid in this security stance.  Security has become a huge talking point for several companies, both local and abroad, and it mainly comes from the different types of internet laws that reside around the world (Williams, 2019).  Several of our current attacks are coming from state-sponsored entities which needs to be addressed.  The only way a company can do that is to listen to their IT team on what is needed to prevent such attacks/espionage.  The IT department can even go back to the cause of the Target breach which involved the attackers going after the third-party HVAC company that remotely monitored Target’s A/C systems for their buildings.  The attackers could not breach Target head on, so they used a weaker associate to gain access to the system (Vijayan, 2014).  By presenting this type of information to the company, it can influence the future decisions they make and ensure that security is thought of in the beginning instead of as an afterthought.

 Hide Assignment InformationInstructions

This is a Search paper which means you will be using articles and sources for your information rather than going out and gathering the data yourself.  

The paper for this class will be 8-10 pages long.  You will use APA 6th Edition and you should follow all font size and styles as indicated in APA 6th Edition.   Visit https://owl.english.purdue.edu/owl/resource/560/01/ for details about APA 6th Edition.

Topic:  You may choose your own topic but it must be approved by the instructor before you begin.  Look for an organization that is of interest to you.  To gain approval, you must submit a paper proposal under the drop box.  If you do not have an approved proposal, your final paper will not be accepted.  Your proposal should include your organization name and your name.

Be sure you include your title page, table of contents, abstract, and references.  These four items do not count towards your total page count.  If you have charts to share, please add them as an appendix and not within the paper as that will count against your page count if it is within your paper.

Grading:  Please be sure to use spelling and grammar check AND have someone proof read your paper.  You will lose points for spelling and grammar errors and this is 20% of you overall grade.  Of the 200 points the Rubric looks as follows:

APA 6th Edition Format (Citations, References, Etc):         20                           
Introduction:                                                                        30
Quality of Information/Evidence:                                       20
Support of Ideas:                                                                 40
Sequential Development of Ideas:                                      30
Conclusion:                                                                          40
Language Usage – grammar, punctuation, spelling, etc.:   20

TOTAL:                                                                                200

The outline for the assignment is below and in an attachment:

Introduction:  Name the organization/team and why you selected the team and sport you selected.  Provide what is different about this team and if you are a fan of the team, why or why not.  1-2 pages
The Organization/Team:  (2-4 pages)Structure of the Organization/Team:  Explain the team from front office to other staff, number of players, active roster, practice squads, etc.
Marketing Mix for the Organization/Team
Finances:  What is the team worth?  What is the salary cap for the Organization/Team?  What costs does the team have in operating?  Other finance questions.
Legal and Ethical Issues:  Has the team had legal or ethical issues among staff?  Players? Involved in scandals? Other ideas.
Business of the Organization/Team: (2-4 pages)Facility name and information
Events and event management team
Sponsors and revenue
Tickets and outreach
Broadcasting, media, other communications
Licensing
Conclusion (1-2 pages)What makes this team successful?
What is the fan base like?
Why is the fan base larger or smaller than others?
What area of the team would you like to work in and why
References

For this assignment, you will review an animated film or movie of your choice. It can be a stop motion, 2D, or a 3D animated film. Maybe there is an animation that you enjoyed as a child that you would like to revisit with a critical eye. After watching the animation, please answer the following questions in complete sentences, using the  Unit VIII Animation Review Worksheet(SeeAttached).

1. Include the animation title, year produced, and medium (stop motion, hand drawn, 3D, etc).
2. Provide your star rating out of five stars with five stars being the highest and one star being the lowest.
3. What genre or type of animation is it? Does it have a message?
4. What is the animation’s plot? Does the plot make sense? Is it easy to follow or believable?
5. Who are the main characters, and what are they like? Are the characters well written?
6. How is the quality of the animation? Are there special effects? If so what are they like? Are there beautiful scenes? Are there moments where scenes are animated in an interesting way?
7. Did you enjoy the animation? Why, or why not? Where were its good and bad points?
8. What scene or part of the animation did you particularly enjoy or remember? Why was it good or memorable?
9. Who would you recommend this animation to? Why?
10. To what other animations you can compare this?

Your response must be at least two pages in length. APA Style will not be required for this assignment.

• Read the initial and secondary comments posted by your classmates and reflect upon them.
• Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.

Jaydin Davis posted Jun 5, 2021 9:42 PMSubscribe

The commonwealth study ranked the United States las in administrative efficiency and access to healthcare (Schneider et al., 2017).  However, over the last decade, there have been gains made to improve the issue of access. Several health insurance plans have ensured the citizens of the United States gain access to medical services. Preferred Provider Organization (PPO) is a medical arrangement where providers provide medical services to the subscribers. Health Maintenance Organization (HMO) is an insurance plan that provides medical insurance at annual fixed rates. Exclusive Provider Organization (EPO) is a hybrid health insurance plan that allows subscribers to receive services from providers and institutions from their network. 

Preferred Provider Organization (PPO)

Preferred Provider Organization (PPO) has gained popularity over the years due to the flexibility of the insurance plan. PPO is defined as a network of providers and healthcare institutions like hospitals that provide medical services to subscribers. PPO offers freedom to choose healthcare providers, an advantage missing from the other insurance plans (Range, 1984). The growth of PPO can also be attributed to some of the undesirable features with the other plans like HMO, where there is the least amount of freedom in choosing a specialist (Hurley et al., 2004). 

When using PPO, referrals are not necessary as the network of physicians will ensure the health issue well taken care of. There is excellent coordination of services among the providers improving the consumer experience of the plan (Range, 1984). However, the amount of paperwork involved while using the system is significant, especially when seeing out-of-network physicians. In everyday situations, the physicians will fill the paperwork for insurance purposes. The paperwork increases when seeing out-of-network physicians. This also points out the issue of administrative efficiency in the study of why the United States healthcare system lags behind other developed nations (Schneider et al., 2017).  

Challenges with PPO

A single PPO plan would, on average would $7,880, while a family plan would cost $22,248 in 2020 (KFF, 2020). This is expensive compared to the HMO, where on average, a single plan would cost $7,284 and $20,809 for family cover (KFF, 2020). The increase in premium for PPO would deter most people from using the plan. Over half of the people in the United States are covered by their employers. Companies try to reduce costs, and with the benefits of PPO, companies would still shun the plan due to increased premiums.

The paperwork involved in PPO is enormous in comparison to the other plans. In a study on the rising popularity of PPO, Hurley et al. (2004) cited administration inefficiency as the biggest drawback of PPO. The inefficiency is concerned with the amount of paperwork involved when seeing out-of-network doctors. 

Recommendations for PPO

The insurance plan may be rising in popularity due to the various benefits the consumers enjoy, but huge costs deter some people from using the plan. According to Pope et al., an adjustment of the premium would make the insurance even more popular. This will increase the number of people who have access to insurance coverage as more people will subscribe to the plan. Paperwork is one issue when seeking out network providers. Filling the claim paperwork is a tedious process that most consumers would rather forego.  The plan should ensure that all the providers, even out-of-network providers, fill the claim paperwork. 

References

Hurley, Robert & Strunk, Bradley & White, Justin. (2004). The Puzzling Popularity of the PPO. Health affairs (Project Hope). 23. 56-68. 10.1377/hlthaff.23.2.56.

KFF (2020). Employer Health Benefits. 2020 Summary of Findings. Retrieved from https://files.kff.org/attachment/Summary-of-Findings-Employer-Health-Benefits-2020.pdf

Pope, G. C., Greenwald, L., Kautter, J., Olmsted, E., & Mobley, L. (2006). Medicare preferred provider organization demonstration: plan offerings and beneficiary enrollment. Health care financing review, 27(3), 95–109.

Range RP. (1984). Developing a PPO: challenges and benefits. Health Prog. 1984 Dec;65(11):38-9, 54. PMID: 10269067.

Schneider Eric., Dana O. Sarnak, David Squires, Arnav Shah, and Michelle M. Doty. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. The Commonwealth Fund.