Calculate the per capita usage of physician services in Canada

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A model of the determinants of health combines three economic variables and two economic relationships.
For instance, the three economic variables are:
The amount a patient pays for a visit to a physiotherapist (P);
The number of times the patient visits the physiotherapist (V); and
The length of time it takes the patient to recover from a rotator cuff (shoulder)
injury (D) (max. = 365 days).
The two economic relationships are:
The number of visits (V) = 18 – $0.09 (P).

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(1)
A model of the determinants of health combines three economic variables and two economic relationships.
For instance, the three economic variables are:
The amount a patient pays for a visit to a physiotherapist (P);
The number of times the patient visits the physiotherapist (V); and
The length of time it takes the patient to recover from a rotator cuff (shoulder)
injury (D) (max. = 365 days).
The two economic relationships are:
The number of visits (V) = 18 – $0.09 (P).
In other words, if the price is zero, the patient will make 18 visits in order to receive treatment for this injury. If the price is $200, the patient will make zero visits.
The number of days to recover (365 – D).
In this case, the number of healthy days (D) in the next year will be 180 + 5V. If the number of visits is zero, the patient will have 180 healthy days and it will take 185 (365 – 180) days to recover from the rotator cuff injury. If the number of visits is 18, the patient will have 270 [180 + 5(18)] healthy days, and the time to recover from the injury will be 95 days (365 – 270).
Use the above information to determine the relationship between price and health status in this model. In other words, solve for D and for P, and set up two equations: one showing the value of D in terms of P; and one showing the value of P in terms of D. Once you have determined the two equations, provide an interpretation of each equation.
(2). Year Population of Canada Physicians in Canada Physician Services (thousands)
2002 31,577,000 56,080 520,800
2003 31,988,700 58,230 558,500
2004 32,509,000 59,850 570,200
2005 33,037,000 60,925 589,300
a. Calculate the number of physicians, per thousand population in Canada, from 2002 to 2005. What conclusions can be drawn about the physician coverage of Canada’s population?
b. Calculate the per capita usage of physician services in Canada for each of the above four years, and determine the…

Is health care a luxury?

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Part 1 (3-4 pages) Please Cite References
A mother brings her daughter into the emergency room during an asthma attack. Though both of her parents work, they cannot afford medical insurance for themselves or her. They also earn too much money to qualify for state or federal aid. She is treated with medication for her asthma attack at the hospital and she and her mother leave. Two weeks later, they return to the hospital in a virtually identical scenario.
In a 3-4 page paper, consider the following questions and explain your position of the issues:
Do you think that this girl is receiving adequate care?
Should she be able to see a primary-care physician before her condition gets so acute that she must visit the ER?
Should everyone be entitled to a basic minimum of health care or to the exact same health care?
Do you think that health care is a right? If so, is everyone forced to honor this right?
Is this right relative or universal?
Does this right exist because of the wealth of the United States, or is it applicable everywhere?
Is health care a luxury?
Does having money entitle a person to better health care?

Part 2 (3-4 paragraphs) Please Cite References
Respondeat superior is a legal concept that deals with the liability of a health care organization. It states that an employer may be liable for the actions of its employee and, in some cases, for the wrongful acts the employee performed.
Discuss the following:
What 2 legal elements must be present for the employer to be considered liable for an employee’s wrongful act(s)?
Give an example of a situation in which an assisted-living facility might be liable for the actions of one of its employees for a wrongful act he or she committed.
Note: Your example must exemplify both components of liability previously identified.

health care in the state of Maryland

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To continue the discussion about health care in the state of Maryland, we will discuss this week on how it is delivered. The State of Maryland is unique in that hospital rates (the cost charged for each patient admitted into a Maryland hospital) are governed by the Maryland Health Services Cost Review Commission (HSCRC). Other state’s rates are driven by what the market will bear and the prices charged are what the hospitals set themselves for the services they provide.

For example, “When a patient arrives at Bayonne Hospital Center in New Jersey requiring treatment for the respiratory ailment known as COPD, or chronic obstructive pulmonary disease, she faces an official price tag of $99,690. Less than 30 miles away in the Bronx, N.Y., the Lincoln Medical and Mental Health Center charges only $7,044 for the same treatment, according to a massive federal database of national health care costs.” (Boice, Bycoffe and Scheinkman, 2013. Huffington Post, Hospital Prices No Longer Secret As New Data Reveals Bewildering System, Staggering Cost Differences.http://huffingtonpost.com/2013/05/08/hospital-prices-cost-differences_n_3232678.html). These inflated costs are also used for negotiating discounts with private insurance companies (Medicare and Medicaid rates are set for each diagnosis).

With Maryland’s rates being set by the HSCRC, the cost of insurance here is among the cheapest in the country. Health plans that will operate on the new health exchanges created under the federal reforms will charge among the lowest premiums of any state.

Maryland is not the only state that has implemented rate setting. New York, New Jersey, Connecticut, Massachusetts, Washington and West Virginia all experimented with rate setting in the past as well. However, these states have since discontinued.

Given the success Maryland has found in providing lower health care cost, (based on the readings and your research) why do you think these states did not continue with regulating hospital rate setting?

Could price controls work nationwide? Should the federal government impose mandates on all states to have a state agency such as the HSCRC in Maryland to regulate their hospital rates? Please be specific with your reasons for why or why not and show justification from your research.

What could be the negative effects of each state’s rates being regulated as it relates to patient care?

Below is supplemental reading to this week’s discussion:

http://commonwealthfund.org/~/media/Files/Publications/Issue{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}20Brief/2009/Oct/1332_Atkinson_state_hospital_ratesetting_revisited_1015.pdf

http://marylandhbe.com/wp-content/uploads/2013/07/Analysis-of-Individual-Market-Rates-for-Health-Plans-on-Maryland-Health-Connection.pdf

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Q- 2

The Maryland Health Care Commission regulates health care in the State of Maryland. As you will note from the second assigned reading, it is comprised of 5 Centers who are very distinct. Please list out one service from each of the 5 Centers that you would find helpful as a health care administrator and why (be specific). FYI – you will have 5 separate services upon completion of this exercise.

For example, as a health care administrator (in a hospital), I am interested in adding a new service line and need to obtain a Certificate of Need. In order to obtain this Certificate of Need, I will work with the Center for Hospital Services to find out what I need to do in order to facilitate this process.

Please also see the following link for information about Maryland Certificate of Need.

http://mhcc.maryland.gov/consumerinfo/hospitalguide/practitioners/other_information/overview_of_maryland_regulatory_system_for_hospital_oversight.html

-minimum 200 words Maximum 400 words for each question.

HEALTH CARE STRATEGY AND STRATEGY MANAGEMENT IN COMPETITIVE MARKETS

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HEALTH CARE STRATEGY AND STRATEGY MANAGEMENT IN COMPETITIVE MARKETS

PPT

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Each Student will be provided a case. The facts of the case will form a base on which to apply the skills learned in the course.
Work products:
Strategic Options -Identify the key external and internal challenges presented by the case along with unique and viable strategic options through application of Scenario Planning, or Blue Ocean Strategy as presented in the course. For those who use scenario planning the Student will offer at least two different and plausible scenarios to which the strategies may have to respond and the strategic options that emerge from each (25 Points)
Strategies and Tactics -Select and defend the most relevant strategies (strategic goals) and tactics to address the facts of the case. Describe how the scenarios served to influence the strategies selected and rejected and what a long term vision for this organization may be.
Strategy Map -Based on the materials in course prepare a strategy map demonstrating how implementation will cascade into the organization along with the metrics (scorecard) that will be tracked to monitor success (25 Points)
Report and Recommendations -A final edited PPT of the Student project including a description of the action you would be requesting from a board to execute your recommendations. The content from earlier submissions can be of your choosing but please include the challenges you’ve identified in funding the strategy and a prioritization of strategies based on the analysis. (45 points)

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