Working Within The Workers ' Compensation Essay

Working Within The Workers ' Compensation Essay

Length: 1263 words (3.6 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

Working within the workers’ compensation (WC) structure in cost and billing is different than the Affordable Care Act (ACA) reimbursement system. Prior to taking the Healthcare Business Dynamics class, I understood the different WC medical care pay schedules according to each state; albeit, participating in the strategic planning of a business plan, I have a better understanding that Medicare, Medicaid, and group insurance is reimbursed at a lower rate causing concern that the AFA may cause financial distress on the healthcare institutions (Aldhizer & Juras, 2015). Thus, hospitals and insurance companies continue to think like a business versus a service provider because they do not want to cover pre-existing conditions or be held accountable to meet required outcomes to receive reimbursements (Aldhizer & Juras, 2015). In comparison, WC medical care services is paid up to the 90th percentile of billed costs (Barbour, 2016). And, states with lower expenditures in group health insurance have a higher usage of workers compensation insurance; in contrast, states where medical services have a higher payout with group insurance, they have a reduction in workers’ compensation medical care utilization (Stahl, 2013). The gap in medical service charges within the WC system is related to the failing injury care due to overtreatment and the lack of accountability in meeting medical care outcomes (Stahl, 2013). The ACA’s standard requirements for positive outcomes to receive reimbursement is the strongest asset in healthcare delivery. Albeit, to provide quality and safe care for the injured worker, WC necessitates adaptation in producing results in services to decrease the disparity in care (Stahl, 2013).
Strategic planning participation in th...

... middle of paper ...

...tion, lost work days, and a decrease in specialty referrals, and claim costs compared to the ODGs on an annual basis for insurance year (Tomlinson, 2015).
In January during our yearly risk management meeting in Chicago, I will present the NCM utilization strategy and propose using a NCM at the beginning of each claim while implementing the six criteria to improve the quality and safety in employee medical care following an injury, and that collaboration with the doctor, patient, and employer promotes excellent medical outcomes, return to work, and a decrease in disability (Diffenderfer, 2015). The project will be marketed internally, to colleagues in the risk management team, to explain how this project falls in line with our purpose to care and show compassion to our injured employees while achieving strategic purpose within the organization (Differderfer, 2015).

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay about Financial and Non Financial Compensation

- The chapters for week four were interesting to me because compensation, both financial and nonfinancial, and safety are important to me in the workplace. Until this class, I had only every considered these topics from the view of the employee, not the employer. I have learned that it is important to look at the issues from both standpoints in order to get a clear picture of the issues. This week I chose several subtopics within these chapters that are the most profound to me. These include determinants of direct financial compensation, nonfinancial compensation, and the benefits of health and safety....   [tags: learning journal week four]

Better Essays
842 words (2.4 pages)

Proposed Compensation Scheme for Nike, INC. Essay

- Since the 1980s, it has been established that there must be a strong association between employee compensation and business strategy (Hufnagel, 1987). However, the development of strategically-oriented compensation scheme is a complex endeavor that requires consideration of numerous factors. Some of these elements are evolving employee needs, changing employee and societal demographics, the changing sexual composition of the labor force as well as transforming qualifications of job applicants (Dawson, 1995)....   [tags: Employees, Offshore, Factory]

Better Essays
1347 words (3.8 pages)

Walmart Compensation Package for its Employees Essay example

- ... The most beneficial is internal consistency, it defined each position, and employees are paid based on skill level and qualification. Internal consistency encourages trust with people; it is a sign that a system has been designed, and not patched together. When an employer pays the wages of the internal value of the each job, depending on the work performed the employee is getting paid for the service rendered. Typical factors are considered such as educational requirements, experience and overall responsibilities necessary for the job functions (Romanoff, Boehm, & Benson, 1986)....   [tags: business, market, competitors]

Better Essays
1820 words (5.2 pages)

Corporate Social Responsibilities: Temporary Workforce and Disposable Workers

- Studying the shift of corporations to a temporary workforce and the impact of that switch is part of organizational behavior studies. Learning the bases for the change may help companies understand what a shift in focus can do for an organization. Also knowing what effect the changes have on both the temporary and permanent employees and how to measure that can help a corporation mitigate the negative effects. Individual businesses make decisions every day that impact the working conditions within their organizations....   [tags: behavior studies, good working conditions]

Better Essays
1223 words (3.5 pages)

The Marginal Productivity Of Workers Essays

- Evaluate the view that wage differentials are only a reflection of differences in the marginal productivity of workers. Wage differentials are the different rates of pay for the same general type of work, due to a variety of reasons such as differences in performance. Marginal productivity is the difference in how much a worker produces compared to another. There are many reasons for the difference in wages within an industry such as the amount of risk involved, the amount of human capital the individual has and the differences in productivity and amount contributed to the firm....   [tags: Supply and demand, Wage, Microeconomics]

Better Essays
1124 words (3.2 pages)

Company Should Institute A Market Competitive Compensation Program Essay

- 1. Tomax Corporation has 400 employees and wishes to develop a compensation policy to correspond to its dynamic business strategy. The company wishes to employ a high-quality workforce capable of responding to a competitive business environment. Suggest different compensation objectives to match Tomax’s business goals. The pay for performance standard is the first place a company should start. This would be a reflection of if you perform, then you are rewarded. This type of standard raises productivity and lowers labor costs due to only paying top dollar for the people driving and contributing to the organization....   [tags: Employment, Wage, Minimum wage, Wage labour]

Better Essays
732 words (2.1 pages)

Is Financial Compensation Beneficial Or Detrimental In An Empowerment Essay

- Introduction What is an Empowerment . Basically empowerment means giving the employee the ability to do their work, i.e. through the right training, the right environment, the right information, the right tools and the authority that they need. It is thought that by giving the employee increased power and responsibility that the employee will have increased motivation. Organisations have developed a number of new programs in which it is hoped that employees will have empowerment and so increased motivation....   [tags: essays research papers fc]

Better Essays
1368 words (3.9 pages)

Concept Of Ideology Within A Retail Organization ' Matalan ' As A Gsa Essay

- The concept I have decided to explore is ideology in relation to experiences I encountered in a retail organisation called ‘Matalan’ as a GSA. Ideology can be defined as ideas of a group that dominate but conceal the interests of another group setting a false reality; in this case management (bourgeoisie) and workers (proletariat). There were different things in place within the organisation that made me realise that ideology existed in which our conflict of interests were masked. I was taken away from thinking about what my own interests were which were basically to do as little as possible but for the most money....   [tags: Marxism, Working class, Social class, Karl Marx]

Better Essays
1098 words (3.1 pages)

This American (Working) Life Essay

- What is your average workweek. According to the Organisation for Economic Co-operation and Development over sixty six percent of women and eighty-eight percent of men in America work over 40 hours each week (4). Yet not everyone receives overtime pay. Executives, teachers, managers and others are not required by law to receive overtime pay (U.S. Cong. Federal Labor). These and other professions are labeled exempt from the Fair Labor Standards Act. An exempt profession, when put on a salary, is not protected by the FLSA and can work as many hours as required with no extra compensation....   [tags: Labor]

Better Essays
1037 words (3 pages)

Unfair Treatment of Immigrant Workers Essay

- As the airbus 300 made its final approach along San Francisco international airport, I saw the Golden Gate Bridge sitting on its splendor lit by the rising sun. I then closed my eyes and said to myself “I am finally here.” Thus, my journey in search of a better life began. A few minutes later I was off the plane and was already making my way to the customs and immigration check point. I handed my papers to the immigrations agent, he took a look at my passport and documents and without asking any questions handed them back to me, smiled and said, “Welcome to the United States.” Two months after arriving in the United States, I found myself working long hours and struggling with homesicknes...   [tags: essays research papers]

Free Essays
1133 words (3.2 pages)