Week 4 Discussion 1

Consumerism

Describe the impacts of consumerism in regards to information technology, claims management, and member services when dealing with healthcare providers. What tools and value added quality will be expected of health care providers? What changes will health care providers need to make to be competitive and gain consumers and maintain existing members? Watch The role of IT in public healthcare service video and discuss your opinions on information technology and Health care. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years to support the ideas you express in your posting.

Week 4 Discussion 2

Employer-Sponsored Sales Process

Describe the employer-sponsored sales process? What is the goal of this process once it is completed? Why is accreditation important? What is the difference between rating and underwriting and how is it used? Identify and discuss any ethical issues that could arise in the underwriting process. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years to support the ideas you express in your posting.

Week 4 Assignment

Internet Search

Access the internet and locate a health care insurance company website. Write a two- to- three page paper based on the health care insurance company summarizing the company’s:

a.   Member services
b.   New/current/upcoming technology
c.   Accreditation and/or certification
d.   Patient incentives and provider outreach
e.   Two factors that are thought provoking that detail the insurance companies’ commitment to excellence and quality.

Finally, detail three recommendations for improving the health care insurance company’s website or services.

Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years (not including your course text) to justify your recommendations. All sources must be documented in APA style, as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

preview of the answer..

Employer-sponsored plans are a form of benefit plan that are put in place by employers for their employees to ensure they receive certain services at lower or no costs at all i.e ensuring they access discounted services (Employer-Sponsored Plan). This plan mostly aims at aiding employees in planning their retirement period which m ostly gets most employees off-guard and in the end once they retire they face really difficult times in their life as senior citizens. This plans as well benefit the employer by them receiving reduced tax rating from he state (Employer-Sponsored Plan) …

1469 words APA