Managed Care Essay Example | Topics and Well Written Essays - 3000 words

Managed Care - Essay Example emerged in this modern world and the employers in the present day context get involved in making as well as executing an effective plan with utmost focus on paying premiums. These premiums are paid by the workers in the form of deductibles, copayments as well as through contribution. It has been apparently recognized that this changed system of healthcare has transformed the investment pattern of the employees. In the year 2013, highest number of employees was recorded to be enrolling in the Preferred Provider Organization (PPO) plans. The same has been illustrated in the form of the following chart: Managed care has proved its dominance in providing â€Å"qualified health plans† with the aid of different health insurance organizations. Specially mentioning, there is a need to follow the rules that are provided under the Affordable Care Act. The ACA prescribed system of medical loss is noted to be limiting the percentage of premium revenue for enhancing its use for administration, marketing as well as attaining maximum profit. However, to increase the transparency within the system, more regulations are required to be incorporated by the respective government. To increase the competition within the domain of healthcare aid, there are various additional developments being initiated to incorporate within the domain of healthcare based operations. This competitive edge is being developed with the notion to enhance the control over the premium rate fluctuations (Shi & Singh, 2011). ACA visualizes that Consumer Operated and Oriented Plans (CO-OPs) will be developed based on finances received from the federal government. This type of plans is available in small numbers within the US Medicaid services. CO-OPs started operating as nonprofit making organizations following the developments such as the Health Maintenance Organization (HMO) and PPO. CO-OPs are even structured based on standard models of such organizations that have been already active within Medicaid

Why Mama Gives the Quilts to Maggie rather than Dee Essay

Why Mama Gives the Quilts to Maggie rather than Dee - Essay Example Culture connects one with his/her ancestry and helps the person to relate to his/her social group, this is the message conveyed in this story. So, this paper will analyze how the person who holds on to her culture and heritage was finally rewarded. â€Å"Everyday Use† by Alice Walker involves three different characters, a mother and her two daughters and reflects their directly opposite views about African-American culture. All the three main characters of the short story, â€Å"Everyday use†, ‘Mama’, Dee and Maggie are different with different characteristics, with the two daughters particularly contrasting. Dee is portrayed as being the successful, beautiful but at the same time arrogant woman, with false pride about her heritage. While Maggie is a disfigured, slow at the same time simple girl with lot of pride in tradition and heritage. â€Å"Have you ever seen a lame animal, perhaps a dog run over by some careless person rich enough to own a car, sidle up to someone who is ignorant enough to be kind to him? That is the way my Maggie walks† (Walker, 25). ‘Mama’ introduces herself as â€Å"a large, big-boned woman with rough, man-working hands†. So the Mama could be const ructed as women with good physical strength. ‘Mama’ always showed a lot of responsibility to both her daughters and tried hard to give both of them a better life. As both the daughters were different in every aspect, all theirs friction were handled with care by her. Dee has been like that even from her childhood and always played an independent role in the family. While, Maggie because of her lack of physical beauty and low confidence had a subdued existence. Importantly she didn’t show any rudeness and lived a calm life. So, the point to be noted is, even though both the girls are very different they had a good relationship until the object of quilts entered the picture. The elder daughter Dee, because of the influence of Black