Health policy is a collection of stipulations, regulations, and laws that apply to all buyers and providers. Legislation attempts to strike a balance between healthcare prices and access by posing the crucial issue of how it will be supported. Because the penalty is more minor than the cost of health insurance, employer-sponsored coverage will decline. More employees are adopting government-sponsored initiatives. This political shift has a substantial influence on the income streams of the majority of organizations. Despite the risk of damage, Health Net Group’s sales in 2021 topped $3 billion. Employer-based coverage is becoming more unaffordable due to rising premiums and deductibles, which have outpaced increased employees’ income. This is accurate as a current employee of Health Net Group. Even if the employer offers low-premium plans with large deductibles, some workers can still not see the doctor due to financial constraints. This is an opportunity for Health Net Group to develop an affordable plan for its workers. Providing affordable healthcare continues to be difficult to their mission statement and triple aim objective. About 27.3 million people in the United States did not have health insurance in 2015 (Ragan et al., 2019). Employers are not required to pay for their employees’ health insurance. Even though treatment costs are down, total payment is rising. Concerns over healthcare policy, such as the future of the Affordable Care Act, the increase in the cost of healthcare insurance coverage, the cost of pharmaceuticals, and the revisions to Accountable Care Organizations, are common among medical professionals.
MHA FPX 5010 Assessment 1 Current Environmental Analysis
Health Net Group could not sustain the losses associated with government health insurance exchanges and withdrew in 2016. Health Net Group considered simplifying health insurance coverage alternatives, helping persons and families whose earnings are up to 400 percent of the federal poverty line is one example of what we mean by income-based assistance.
The broad use of electronic health records is dependent on technological advancements and creative thinking. You are utilizing data from electronic health records to improve the quality of treatment to determine physician and hospital reimbursement. There have been technological advances in automation, telemedicine, data analysis, and the interchange of clinical information (Kruse & Beane, 2018). Health Net Group is leveraging artificial intelligence to improve member participation. Artificial intelligence will assist high-risk members and members with numerous chronic conditions in establishing stronger connections with their doctors, achieving better health outcomes, and gaining access to member-centric services and solutions. Strategic management is all about placing the firm’s successes ahead of the competition. It is necessary to understand the organization’s assets and take action to maximize them. Compare these assets to those of the competitors to determine who is superior. The objective is for the organization’s strengths to correspond with what customers/members want, which contributes to the organization’s ability to overcome competitors (Arumi, 2020).
The strategic direction of a healthcare organization
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The Wellbeing Net Gathering mission statement (n.d.) is “improving the wellbeing framework for everybody” and “assisting people with carry on with bettering lives.” The strategic direction of Health Net Group reflects the company’s objective and vision. Further creating prosperity results, cutting down expenses, and supporting part consideration are clinical benefits targets. In order to assist members with chronic and high-risk conditions, Health Net Group is investigating new technology, such as artificial intelligence. A patient-focused way to deal with care will be made simpler by this innovation. Individual Wellbeing Records have been created and executed by Wellbeing Net Gathering notwithstanding computerized reasoning. It provides members and clinicians with a comprehensive picture of a member’s medical information on a single system and may also suggest a path to improved health. Prosperity Net Social event has made Rally propel part responsibility, an electronic stage that offers people internet prosperity the board gadgets and answers (Prosperity Net Get-together, About us. n.d.). Rally motivates and entices individuals to evaluate their progress, share their accomplishments, and obtain rewards for making better choices. Wellbeing Net Gathering teams up with the Food and Medication Organization, the Communities for Govern
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