What issues would you want to alert the hospital board to concerning whether this is a permissible venture, and how the HMO can use its capital funds?

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REGULATORY ENVIRONMENT IN HEALTH CARE

question 1.For Profit Joint Venture.
or this assignment, complete the Problem presented on page 432-433 (also below) in the text. See page 380 for a general description of Marcus Welby Hospital .
To seek shelter from the competitive storm, Marcus Welby Hospital (MWH) is considering forming a joint venture with an existing for-profit HMO. MWH would be given 30 percent ownership of the privately held HMO, and each of its five board of trustees members would be given 1 percent ownership, in exchange for MWH contributing $10 million in capital funds, which is 35 percent of the HMO’s appraised net worth. Since the HMO already owns its own nursing home, MWH will raise the capital by selling its nursing home. MWH will receive 30 percent of whatever profit distributions the HMO board chooses to make from time to time and the trustees will receive their 1 percent shares. MWH also hopes to increase its patient base for hospital admissions and to secure a better bargaining position for reimbursements from the HMO, but the HMO is making no promises about where its subscribers will be sent for hospital care, nor how it will pay MWH for hospital services to its subscribers.
Assume that MWH has articles of incorporation similar to Queen of Angels’ only covering nursing home as well as hospital services, and that it has received only general, unrestricted gifts from donors. Also, assume there is no other management or personal connection between MWH and the HMO.

  • What issues would you want to alert the hospital board to concerning whether this is a permissible venture, and how the HMO can use its capital funds?
  • Would these parties be advised to have the HMO pledge some portion of its revenues to pay for charity care services at MWH?
  • question2.Complete the Problem on page 459 in the text. Submit your solution to your instructor. See page 380 for a general description of Marcus Welby Hospital .Marcus Welby Hospital has decided to form an HMO in which it wants to give physicians a major stake, in order to foster allegiance and encourage cost-effective treatment. You are consulted as a legal and management expert to advise the hospital on the consequences of forming the HMO as a nonprofit versus a for-profit entity. What are the relevant considerations with respect to tax exemption, the ability to raise capital, the role of physicians, and operational constraints

PURCHASERS OF HEALTH CARE:ROLES OF EMPLOYERS AND HEALTH PLANS IN THE U.S. HEALTH CARE SYSTEM

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PURCHASERS OF HEALTH CARE:ROLES OF EMPLOYERS AND HEALTH PLANS IN THE U.S. HEALTH CARE SYSTEM

Of the 5 points associated with this assignment, 2 points will be available for the oral presentation and 3 points for the written summary.You may organize your written summary in any way you wish, but it should address (at a minimum), why your plan is the best option for General Mills, and what strategies you would propose to use in addressing the health benefits needs of General Mills and its employees.

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In Minnesota, the health plan market is dominated by three local, non-profit organizations: Medica, Blue Cross/Blue Shield, and HealthPartners. Your health plan marketing group has been assigned the job of securing (retaining) the General Mills account. You must convince General Mills, a large, self-insured employer headquartered in the Twin Cities, to contract with your health plan — and only your health plan — to serve all of its U.S. and international employees. Do whatever research is necessary for you to understand the strengths and weaknesses of your health plan and the health benefit needs and desires of General Mills. (In this exercise, you are not allowed to contact anyone associated with General Mills.) Then,
Prepare a PowerPoint presentation for two benefit consultants who will make their recommendation to General Mills. This presentation must contain no more than ten PowerPoint slides. Your job is to convince the benefit consultants that your organization should be chosen for further price negotiations. Do not include any pricing information in your slides.
Of the 5 points associated with this assignment, 2 points will be available for the oral presentation and 3 points for the written summary. You may organize your written summary in any way you wish, but it should address (at a minimum), why your plan is the best option for General Mills, and what strategies you would propose to use in addressing the health benefits needs of General Mills and its employees.
Roles of Employers and Health Plans in the U.S. Health Care System
Attachments:

Does the flow of the paper and sentence structure make sense?

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YOUR INSTRUCTOR WILL ASSIGN AND SEND YOU A PEER’S PAPER ON HEALTH CARE PROVIDER AND FAITH…

Your instructor will assign and send you a peer’s paper on Health Care Provider and Faith Diversity. Your job is to critically read the assignment and make corrections/comments using track changes and comments in Microsoft Word. Be sure to assess the paper using the following criteria:

a) Does the paper provide sufficient evidence for its hypothesis or claim?
b) Does the flow of the paper and sentence structure make sense?
c) Should it be organized in a different manner?
d) Are all the items listed in the assignment guidelines and rubric covered and in sufficient depth?
2) This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
3) Submit the peer-reviewed assignment to the instructor by the end of Module 4

Analyze the primary way in which different staffing levels may play pivotal roles in upholding ethical conduct, including treating patients with dignity

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As the head health care administrator at USA Community Hospital, you are required to review compliance reports on issues relating to the ethical conduct of the professional staff at your hospital, patient review registries, and standard procedures surrounding the ethical treatment of patients with HIV / AIDS. Intermittently, complaints surface from patients with HIV / AIDS concerned with ethical treatment and denial of

services

.
 
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
 
Write a six to eight (6-8) page paper in which you:
 

  1. Devise a plan to investigate the validity of patients’ claims of denial of services. This plan should include, but not be limited to, establishing mechanisms to address service denial claims, a human resources component, and a review of related policies and procedures.
  2. Analyze the primary way in which different staffing levels may play pivotal roles in upholding ethical conduct, including treating patients with dignity. Justify your position.
  3. Formulate a plan to relate the primary legal ramifications to the professional staff regarding ethical treatment of the hospital’s HIV / AIDS patients.
  4. Devise a community relations plan that tout’s the hospital’s unique ways of serving persons with HIV / AIDS, including a focus on de-stigmatizing those afflicted.
  5. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

This assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Examine the various applications of the law within the health care system.
  • Identify the principles and legalities of ethical issues within the health care system.
  • Identify a plan that addresses legal and ethical issues in a health care policy.
  • Use technology and information resources to research issues in health care policy, law, and ethics.
  • Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics