After Reading the real life scenario bellow.... What options are available for an employer who is...

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After Reading the real life scenario bellow....

What options are available for an employer who is looking at away to provide good benefits without increased costs to either theemployees or to the practice. Assume that your current healthinsurance is a traditional plan in which there is an annual $200deductible and 20% coinsurance regardless of which doctor you goto??

"Sunshine Medical Group, a group of 25 employees located in ametropolitan area, has elected to purchase traditional healthbenefits from a large, private, third-party payer, since thepractice opened 5 years earlier. It is time to negoti- ate thecontract for coverage for the next calendar year and the proposalfrom the company is almost $85 per employee, per month, higher thanthe practice has been paying. The current amount per employee, permonth, is $515.00 and the new amount is $599.00. The representativehas suggested that charging a higher copayment and deductible foremployees will lower the premium. The physicians and practicemanager would rather find a reputable managed care plan, possiblyeven an HMO since there are a lot of choices in their area, than tohave to pass on any extra costs to the employees or reduce currentbenefits. They also don’t feel the proposed increase is the bestuse of the practice’s funds. The practice manager calls theemployees together to present the situation and ask each employeeto research options over the next 10 business days and return to ameeting to share their findings/proposals."

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Well being care improvement alternatives are numerous and employers will wish to carefully examine the distinct features of coverage options on hand Wellbeing insurance plan types incorporate health upkeep businesses HMOs typical costforprovider indemnity coverage favored supplier organizations PPOs and foremost scientific policies The fame of health savings accounts HSAs is continuously developing as a wellness care advantage choice Dental and vision care coverage will also be offered as a separate well being care improvement with the aid of employers Wellness care reform The enactment of the sufferer security and low cost Care Act and related legislation in 2010 heavily regulates the coverage enterprise instituting advantage and insurance plan mandates Besides for grandfathered plans it mandates that by using 2014 all certified wellbeing benefit plans present as a minimum an major wellness advantages bundle as outlined by using the Secretary of health and Human services Wellbeing protection organizations HMOs wellbeing preservation firms higher known as HMOs have arguably turn out to be essentially the most regular style of wellbeing care offered through employers in these days They are widespread seeing that they are slightly lower in cost than ordinary priceforcarrier plans and offer huge health protection They have nevertheless been criticized since the ratereducing comes on the price of sufferer care The insurance enterprise or managed care corporation contracts with physicians each common practitioners and professionals and hospitals to provide care to its insureds Typically the doctors have    See Answer
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