What is an HMO?
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An HMO plan offers healthcare services through a network of providers. Members must choose a primary care physician who provides referrals for specialists. HMO plans typically have lower out-of-pocket costs than other plans but provide less flexibility in choosing doctors. They require use of in-network providers and provide coverage for preventive services without a deductible. HMOs may be a good option for those who prefer lower premiums and good preventive care coverage.
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Point of Service Healthcare Plan
A POS plan combines features of an HMO and PPO by allowing members to use both in-network and out-of-network providers. Members may be required to choose a primary care physician to coordinate care and services from the PCP are not subject to deductibles. Using in-network referrals provides higher coverage levels while out-of-network services carry deductibles and lower reimbursement. POS plans provide more choice than HMOs but less than PPOs, resulting in higher out-of-pocket costs for out-of-network care. They may be a good option for small businesses wanting flexibility but also coordinated primary care.
Five critical roles for healthcare marketing executives
The document discusses five critical roles for healthcare marketing executives in light of changes in the healthcare industry. The five roles are:
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2) Brand Advocate - Rapidly changing competitive dynamics require new approaches to brand leadership to build brand-driven cultures that transform organizations.
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Patient counselling
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Patient counselling
Patient counseling refers to providing patients information to help them appropriately use their medications. The goals of counseling include improving patient understanding of their illness and treatment, adherence to medications, and quality of life while reducing health care costs. Effective counseling requires strong communication skills and involves preparing, opening the session, discussing the medication counseling points, and closing by addressing patient questions and summarizing key points. Barriers to counseling can be patient-related, such as a language difference, or provider-related like a lack of counseling skills or time constraints. Overcoming these barriers is important to improve counseling.
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2. It then discusses the 7Ps of marketing - product, place, promotion, price, people, process, and physical evidence. It also covers segmentation, marketing activities at hospitals, and Pristine Hospital's target market and services.
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Patient Counselling
This document discusses patient counseling provided by pharmacists. It defines patient counseling as professional advice given by pharmacists to patients about their prescribed medications, health, and lifestyle. Effective counseling aims to improve patient understanding, medication adherence, treatment outcomes, and quality of life while reducing adverse effects and healthcare costs. Key aspects of counseling include verbal and non-verbal communication, paying attention to the patient's needs, asking questions, demonstrating empathy, and establishing trust. The document provides examples of special patient populations like those with HIV/AIDS, mental illness, heart disease, asthma, diabetes, and hypertension that require counseling.
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From Medical perspective, patients who don’t comply with doctors orders are usually seen as deviant and deviance needs correction
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A POS plan combines features of an HMO and PPO by allowing members to use both in-network and out-of-network providers. Members may be required to choose a primary care physician to coordinate care and services from the PCP are not subject to deductibles. Using in-network referrals provides higher coverage levels while out-of-network services carry deductibles and lower reimbursement. POS plans provide more choice than HMOs but less than PPOs, resulting in higher out-of-pocket costs for out-of-network care. They may be a good option for small businesses wanting flexibility but also coordinated primary care.
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The document discusses five critical roles for healthcare marketing executives in light of changes in the healthcare industry. The five roles are:
1) Growth Strategist - Marketing executives must help health systems focus on revenue-generating growth opportunities and drive alignment across organizations to deliver revenue growth and profit targets.
2) Brand Advocate - Rapidly changing competitive dynamics require new approaches to brand leadership to build brand-driven cultures that transform organizations.
3) Digital Change Agent - Web, social, and mobile technologies are revolutionizing businesses, and marketers can help health systems better employ these technologies to engage consumers, improve care, and build their brand.
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Patient counseling involves providing patients with information about their medications, including how to take them properly, potential side effects, and lifestyle changes. The goal is to improve patient understanding and adherence to treatment regimens. Effective counseling establishes a relationship of trust, assesses the patient's needs and concerns, and ensures they comprehend key points about managing their condition and medications. The counseling process involves private discussions that cover topics like dosage, benefits, interactions, and storage in a way patients can understand.
Patient counselling
Patient counseling refers to providing patients information to help them appropriately use their medications. The goals of counseling include improving patient understanding of their illness and treatment, adherence to medications, and quality of life while reducing health care costs. Effective counseling requires strong communication skills and involves preparing, opening the session, discussing the medication counseling points, and closing by addressing patient questions and summarizing key points. Barriers to counseling can be patient-related, such as a language difference, or provider-related like a lack of counseling skills or time constraints. Overcoming these barriers is important to improve counseling.
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This document discusses patient counseling provided by pharmacists. It defines patient counseling as professional advice given by pharmacists to patients about their prescribed medications, health, and lifestyle. Effective counseling aims to improve patient understanding, medication adherence, treatment outcomes, and quality of life while reducing adverse effects and healthcare costs. Key aspects of counseling include verbal and non-verbal communication, paying attention to the patient's needs, asking questions, demonstrating empathy, and establishing trust. The document provides examples of special patient populations like those with HIV/AIDS, mental illness, heart disease, asthma, diabetes, and hypertension that require counseling.
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This document summarizes a seminar presentation on pharmacy and therapeutic committees. It defines a pharmacy and therapeutic committee as a policy-making body that advises the medical staff and hospital administration on drug therapy issues. The objectives of these committees are to provide advisory, educational, and safe/rational use of drugs. The composition includes physicians, pharmacists, nurses, and administrators. The committee operates by meeting regularly, reviewing drug formularies, new drugs, adverse events, and policies to promote patient health through safe medication use. Pharmacists play a role in patient counseling, education, and ensuring proper drug use.
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The document discusses different models of dentist-patient interaction from a psychodynamic perspective. It describes the real relationship as an equal relationship between adults, while the treatment alliance considers the patient's anxieties about treatment merging with the dentist's skills. The transference represents the past and can involve the dentist as a parental figure. Types of interaction are also discussed, including active-passive, guidance-cooperation, and mutual participation. Effective communication between dentist and patient is important to establish understanding and satisfaction with treatment.
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1) Hospitals are classified based on their purpose, administration, size, type of care provided, medical system, and region. They can be general, special, teaching or research hospitals and run by the government, private or semi-government.
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Objectives of hospital pharmacy
Functions of general hospital pharmacy
Operational functions of hospital pharmacy
Administrative structure of hospital pharmacy
Abilities and responsibilities of hospital pharmacist
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What is an HMO?
- 1. What is an HMO?
- 2. Tell me about… HMOs HEALTH MAINTENANCE ORGANIZATION (HMO) INSURANCE
- 3. The Breakdown of an HMO Plan HMO means "Health Maintenance Organization." HMO plans offer a wide range of healthcare services through a network of providers who agree to supply services to members. With an HMO you'll likely have coverage for a broader range of preventive healthcare services than you would through another type of plan.
- 4. How does an HMO plan work? Variations Many variations, but typically it enables members to have lower out-of-pocket healthcare expenses, But also less flexibility in the choice of physicians or hospitals than other plans. Requirements May require you to choose a primary care physician (PCP). A referral is required to see a specialist from their PCP. May not be required to pay a deductible before coverage starts and your co-payments will likely be minimal.
- 5. HMOs Claim Submissions? You also typically won't have to submit any of your own claims to the insurance company. No Coverage? No coverage for services rendered by out-of-network providers or for services rendered without a proper referral from your PCP or in cases of certain emergency situations. Preventive Services HMOs generally provide coverage for a broader range of preventative services than other policies. Employees may or may not be required to pay a deductible before their coverage starts, and will usually have a copayment.
- 6. An HMO may be a good option for an individual/family or a small business if you: • PREFER LOWER PREMIUMS • LIKE THE TRADE-OFF OF IN- NETWORK SERVICES • DESIRE GOOD PREVENTIVE SERVICES SUCH AS COVERAGE FOR CHECKUPS AND IMMUNIZATIONS
- 7. Ask me a question… Message me: LinkedIn Email me: acarrier@FinancialAndBenefitServices.com Call me: 724-941-8772 (cell)