Friday, February 14, 2020
Health Insurance Matrix Assignment Example | Topics and Well Written Essays - 1250 words
Health Insurance Matrix - Assignment Example However, these payments are only released once an individual has cleared a deductable amount. This is usually an annual payment that ought to be cleared before discharges takes place. Who pays for care: The consumer and the insurer pay for care. This sort of arrangement is known as coinsurance and may be 80% of the total medical charge (Goodman, 2008). Consumers are expected to pay for the remainder as well as extra charges that arise from a physician’s charge. In this scheme, insurers determine what is reasonable and usual for medical services under consideration. They will consider inflation as well as market rates for this. If a provider charges more than normal, the consumer will also pay for the difference. Access Structure: One of the key advantages of indemnity cover is that it has open access. Here, consumers have the liberty to select a healthcare provider of their choice. They do not require special referrals to a network of medical practitioners. Such a mechanism is quite useful to patients with lifetime diseases like cerebral palsy. They are also suitable for individuals with little concern for healthcare costs. How patients are affected: Patients can benefit from greater flexibility under this model. Since the plan is non-networked, persons who require specialized care gain a lot from it. They also pay for services only after accessing healthcare services so reimbursements are understood. Conversely, financial costs are quite high as out of pocket coverage and deductibles are included. Furthermore, this plan places caps on what one can get throughout their lifetime. It even determines rates and what is a reasonable charge. How providers are affected: The major pros for providers under such a scheme are that they get to provide quality care. They are not under pressure from a gatekeeper on the services they can provide. They have the freedom to charge what they see is fit. Conversely, they lack a set standard against which to charge
Sunday, February 2, 2020
INDIVIDUAL COURSEWORK Example | Topics and Well Written Essays - 1750 words
INDIVIDUAL - Coursework Example ‘Blaak’ brands are much accommodative since they can go hand in hand with most colours and blaak simply was for the transformative quality of the colour. BLAAK has spread its geographical brand to Asia, US, Oceanic with new markets emerging in Africa. BLAAK philosophy remains but the visions has widened and now include other creation with colours other than black, and with the combination of innovation and imagination to create the new and unique style to bring believe to the market. These have lead to designs like the Cropped Tracksuit Trouser, Cropped shirt, Denim jackets and much more. Blaak developed inspirational men’s shirt with traditions of old U.K. embedded with English roses, and using English techniques that have been a tradition, with the detached collar, one can wear a tie or can go informal with half collar. BLAAK has sourced internationally to countries like France, US and many more countries. Strength Weakness Opportunity Threats Black colour Varie ty fashion designs Market niche   Geographic area       Patent      Strong brand name over dependence of one market niche high cost structure brilliant designers technological advancements cheap products from competitors -shift in consumer tastes Strength Black colour: - the dependence of the black colour which very much interacts with most                                colours and fits in all spectra of lifestyle gives black the upper edge its brand. Variety fashion designs:-with the brilliant expertise in the field of design, blaak has an    upper advantage of giving the best to the consumers Market niche:-with a market niche of states and continents, Blaak has a market niche that is enough for growth and expansion which gives it upper hand in making profits only if geographic, physiographic and demographic segmentation is taken into conside ration. Patent: - patent is strength that blaak has considering it is a patent that bears a name of the ‘root material colour’ Weakness Over dependence of one market niche:-With the dependence of Britain as its main market, putting less emphasis in other markets, blaak has a weakness in that it has a growth opportunity but does not exploit fully. High cost structure: - the cost structure for maintaining and manufacturing its designs is higher compared if growth would have been expanded to other emerging markets which can offer cheaper production cost. Opportunities Emerging economies: - it pose a great opportunity to blaak, with these conditions of growing markets and population increase; investors may serve these markets profitably by adaptation of their strategies considering the local context. For example, groups with low income are prudent to be served with cost efficient mass products, with the emphasis on economies of scale and profits being earned by the large sa le volumes Brilliant designers: - With the designer’s brilliance in design, blaak has the best opportunity to provide for the changing consumer preference therefore satisfying the consumer’s needs and preference. Technological advancements: - with the advancement blaak technologically, blaak has the potential to produce more products that are advance and cheap due to technological advancement therefore meeting the market demand. Threats Threats from other competitors: - the
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