An explanation of why cultural change within an organization is so important. Answers to questions concerning possible benefits and barriers to long-term health that an individual or organization may experience in the process of adapting.
Sunday, March 22, 2015
Cognitive Abilities
Implementing Emotional Cues & Intelligence
A discussion on emotional intelligence and an individual's ability to
implement emotional cues to and from other individuals. An overview of
job performance and cognitive skills.
Governance
Legal Liability & Long-Term Care Settings
A brief discussion of legal liability in terms of governance in long-term health-care settings.
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Thursday, March 19, 2015
Is Health-Care Competition an Issue in America?
Competition in The Long-Term Care Market
By Tiffony Love
A Health-care Competition, which can be defined as any act of competing in the long-term care market, has long been a major issue of influence and has impacted the way that long-term care providers normally perform. There are many different factors that have been known to drive such competition within the long-term market. For example, there are at least three factors which drive long-term care market competition in the health-care industry. The government imposed restraints have long driven competition involving eligibility requirements of long-term care services and products. Secondly, need or the overall population demand for a particular product or service also has a great deal of influence in competition for the care providers of today. Another factor that drives buyer and seller competition in long-term care markets is the availability of financial reimbursement from insurance agents.
Government programs like Medicaid and Medicare funding or reimbursements are provided by the state and federal government. One disadvantage is that this form of care operates under the guidelines of the federal government. The federal government has been known to restrict or to limit the particular service or treatment these clients can receive as well as the amount of time he or she receives them. The advantage in government, state or federal assistance is that this quality of services is regulated by the federal government which means that they also must comply with mandatory laws and guidelines involving the effectiveness and the highest quality of care that is provided and at the lowest price possible. The government also participates in the discipline of other health care providers and enforcing consequences on those who fail to perform at levels accepted. The advantage is that these government regulations can be a great guideline in coordinating their quality in the services they provide and to help them balance their annual and bi-annual returns or revenues. Disadvantages are that many of these providers of health-care services and products do not have enough information on the demands of the public and to whom they should sell these services to. Many who compete in the healthcare market-based competition have had difficulty in financing or reimbursing these services as the demand for healthcare continues to increase.
Market-based competitions in health-care place a great deal of interest on forms of reimbursement and can be viewed as more of a reimbursement driven competition compared to a competition that takes most interest on satisfying its customers and its consumers who receive this care. In market-based competitions, the availability for a reimbursement service can determine the likelihood of stakeholder success in the market. The disadvantage here is that when there is a high rate of reimbursement availability there is a higher chance that customers will request services and products he or she may not really need. The amount of time a patient receives his or her health-care as well as how the care is received can be determined by the availability of reimbursement services and from what source is this care being reimbursed. One advantage is that high-quality reimbursement coverage can result in increased competitiveness in the market as well.
There are both advantages and disadvantages of competition within the long-term care market from multiple stakeholder perspectives. MCO's also continue to participate in competitions and have a major influence on consumers and the health-care services and products that are offered to them. The disadvantage in long-term care market competition is that MCO's or government operates at its own cost and quality control strategies in the process of high levels of interaction with long-term care providers. Accepted referrals are required and only provides limited funding for all or any health-care condition in need of treatment when patients are admitted to managed care organizations. Interacting with MCO leave sellers in market-based competitions with limited power involving prices of these services and products and do not have the ability to change or alter them. The long-term care that is financially covered by the government has more control over the care that is provided compared to the control of the actual buyers in this industry. Another advantage of competition within the long-term care market is that stakeholders do have the ability to control or to coordinate medical information.
Competition in the long-term care market has long been a major issue of influence for long-term care providers.
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Pratt, J. R. (2010). Long-term care managing across the continuum (3rd ed.) Boston, MA: Jones and Bartlett Publishing. ISBN: 9780763764500
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