Systematic incentive of medical care; perspectives of employers

As a matter of fact, the employers own different perspectives regarding medical insurance and premium proposals. Although this right of employees in most of countries labour law but when the employer let private insurers cover the firm employees. The cost of insurance and medical service payments will twist his hand and over load deductable payments monthly. We are not with or against especially when employees own the right to get medical coverage premium depending on the mutual agreeable labour contracts. It is only matter of mention pros and cons of both parties on the road of work. As well known the most burden part of any business cycle is the payroll and consequences expenditures. Most of enterprises with regular abilities prefer to deal with publicly insurers in order to decrease involved expenses and with other firms which own strong cash revenues and big budget funds for employees. They found and considered the human labour the biggest asset of the firm then prefer to enhance the medical insurance standards for their own employees by doing coverage contracts with private insurers. Whether you are with this side or that one but my point of view slightly differ than what is commonly happened. Certain jobs and tasks need special kind of effort and high level of mind concentration and much self care parameters than others. By regular insurance threshold and minimum premium rate is hard to save the needed quality of job performance and may hinder the path of their work. The point here from their perspective not to load the budget by insurance expenditures were not needed for the segments existed than positioning precisely their needs to match and to be suited to the age and medical condition.

For sure, there are some mistakes and from dark human side some tricks to avoid high insurance budget of workers. In order to be honest with the readers; the point of medical coverage of employees is closer to internal human values than regular work issue. Because with dishonest employers there are a lot of tricks and accounting delusions could lead the workers and employees to get nothing back. The final judgement about this; determined by the corporation policies of employees choice and development. As said before employees could be biggest burdens and the most valuable asset depending on the way of leadership embraced to adapt their jobs.

Multinational firms take this point as a constitution of choice; whether will lead the business to be worldwide or in some worst stories take the corporation to the court and pay compensations as a result of unqualified employees or may be corrupted choice formerly. Back to our topic of healthcare insurance policies and involving to minimize the premium of the employees insurance. Deductible and copayments are considered one of the employer tricks to pay less for health insurance. Most of employees do not get the idea of this trick through transfer costs of medical care from the employer and even insurer to the patient/employee in order to make them more cost conscious and convert pre-tax shelter of employers to be out of pocket money of the employees. It seems good to help them to get their care and feel satisfied with their end values but also increased the pre-tax premium and push the patients to pay bigger part of the costs. Facts and stories of employers with healthcare and insurance has long roots along recent decades but still there are many care a lot and pay much attention toward their workers and employees. Full health J

Systematic incentive of medical care; perspectives of providers

As we talked formerly about healthcare prices and cost of medical care and inflated service costs and out of pocket fees. It could be directly affect the type and quality of services and full details already discussed in previous post but from provider perspective.  We are going to review different point of views but from other side of responsibility tunnel. Insurers are always caring about positive cash flow and traditionally they work on risk exaggeration among clients than modern managed competition. Because they are not a medical value manufacturer and more close to do their business efficiently than care about medical field problems. Undoubtedly; they prefer inflated costs of care and by their base of clients will form big funds to the corporations than low insurance premium in less inflated ones. As the same exactly going with providers; they prefer high cost of services and high expenditure rates of value receivers to make highest business profit and maximum earn utilization. Currency inflated societies sometimes went far to control and manage the medical care process while in less inflated societies providers found hard to exceed the budget cap of lowest and highest premium proposal accordingly. The incentives we are talking about divided into main categories:

Governmental (public) incentives: many of medical contribution programmes serve the low standards households through paying part or share percent to the provider synchronized by other part of insurers. Public incentives are common in inflated cost societies and main goal to cover and extend the percent of insured covered individuals by paying such percent on behalf of them. Although these kind of incentives give low income households some sort of demands inhibition for a while over a period of time but still not introduce final solutions for their society segments who suffer because of health gain problems.

Private incentives: some providers under certain condition and may be under collaboration with ministry of health affairs of the same country create separate incentives programmes dual purposes for both medical workers financially and by services to the patients in order to support and satisfy specific need and to deliver specific medical values in limited period of time. That used to happen occasionally in epidemic seasonal diseases and also in vaccination ages. 

Closed incentives: it is unique dual purpose incentives happen when there is a deal between insurers and providers to supply group of patients and individuals carry specific identity such as being belong to  private firm or get different kind of service depending on their special medical needs and values. Such kind of service contracts widely used among private firms and insurers whether to supply value receivers with certain quality, different sort of demands and high service standards or give them unpopular medical service commonly not found under normal work conditions. It means always not a matter of giving them something special than to give exactly what they actually in need to get.  The medical worker and nurses used to get some additional benefits in front of that way of standards by different higher reimbursement and more financial bonuses in return. Full health J

Budget cap

In order to get full understanding of the budget cap there is a clear example from the Clinton healthcare plans. In the budget cap there are two ways of pouring money and funds in healthcare delivery systems. First; through limited amount of money represented around twenty percent from individual payroll and around eight percent from the employer paid budget of health insurance for them. While the self employed and non- worker individual would have to pay the full premium of insurance which cover the whole services and received values. Second; insurance proposal would cover the insurance growth over the base of insurance premium and not attached to the prices growth which regularly should be keep just behind the cap of implementation. Retail prices of healthcare services and resources could firmly detached from premium cap of healthcare insurance and that simply to support new insurance participators and found new resources for market extension and growth horizontally than vertically by high service prices above the budget cap. Although there are some effort has paid and on the road to make healthcare insurance more available and coverage premium less difficult to reach but still there are many of insurer care somehow in hidden picture about longitudinally  from certain community segment. Here I would to refer to two point of budget cap implications could be by insurer taken into account.

The matter of market maturity and extension horizontally means increase the number of insured individuals and as possible minimize those who going to escape from the medical cap insurance. Budget cap strategy and keep the premium threshold in common availability for wide base of society reach these goals and build fame of health welfare among satisfied patients toward the insurers and work responsibilities of them.

I do not want here to waste the post in talking about how many millions in US living already out of medical insurance and how sadly the insurers there focusing only to get more benefits from the participators of certain segments of society neglecting others and how far the inflated prices of medical services exceed normal and even abnormal levels under any considerations. Some researchers explained that when the insurers managed longitudinally the market depending on the prices that eventually squeeze the market and increase numbers of those who escaped far from medical insurance umbrella. The other benefits of budget cap to push the insurers to control prices low than cap level that for sure will be direct reason for market growth and flourish. Finding a way to keep the premium proposal low with keeping the same quality level is a challenge but it is worth and carries multiple benefits over many axis of work. It takes years in business to get the idea and understand that some touch of humanity and discounts can easily lead to huge work opportunities and open market niches never seen before. Budget cap is example to cover and extent your insurance policy among society segments lack of setbacks under the light of public wins and improvements. Full healthJ

Elements of healthcare reforms: insurance reform

The matter of reform after former posts talked about Benchmarks of improvement nature and how would be measured. These posts actually opened wide door of study and notice the impact of each component over the process of service provision and indirectly on the whole reform proposals. In coming series could enumerate briefly some sides mentioned already in modern recent academic researches explained and analyze more tightly regarding the matter of such components individually. Here; insurance reform could dominate the aspect of our talk regarding issue of market nature and business demographical figures. Healthcare market which planned or intended to depend mainly on market competition fell in need to sponsors act the role of collective agents therefore; managing the matter of competition among different society segments and moreover; going to shift the market dependable values from risk competition frame into price completion frame. When particularly the service packages and delivery values are slightly differ with minor alternatives close to each other. 

Insurance firms are considered the biggest players in debit industry even a bit more above the bank because banks used to create negative cash flow from society members depending on services provision while insurance create more negative cash flow (it means from people pockets) depending on future hope or security represented in many circumstances while most of mentionable risks almost never happened sooner or may be never happen basically. Although most of people do not know that their work depending mainly on this issue especially with individuals and society inhabitants but when matter touch point of health the exaggeration of fear become huge. Managed competition from customer introduced risks to prices competition is experienced work strategy with healthcare providers and end value receivers. May be I said that in other posts implicitly but will be condensed more about provide premium rate of insurance coverage for certain market segment and neglect other ones to get nearer service provision create aside and hidden market of service supply to those who not authorized to do and this widely existed in high inflated countries that make the patient suffer and rotate in numerous supply programmes dilemma. Just to get the minimum threshold of provision and build cushion of healthcare insurance. Creating convergent segment of service provision depending on prices related pools than risks support the patients to share with their ability and by minimum fair provision build satisfaction to inner will to get more service segments by integrate into multiple insurance pools and achieve future selection to beneficiaries orientation and eventually achieve ripeness to the market. 

The market look like the nature exactly needs to be selected to build new orientation of customers involved whether with or not. This still the door of discussion of insurance markets and their direct role over people and their services which exceed traditional thoughts and lead new innovative solutions toward our society progress. Market soundness is much important than the business cycle and business process thus maturity of market review clear indicators about future, regarding the growth and amplitude of market depth and stability in front new products and services. Full health J

Self-sufficient of healthcare systems

The matter of self-sufficient is always controversial among investors and owners. Although it carries simple core of meaning but still the benefits and enclosed impact around the process and future consequences not clear for many. Proper calibration of the same concept in general way would be better and more explainable. Self-sufficient means create close self satisfaction cycle support life needs and other issues might be in need for future and that for personal level. The same on the level of companies and business cycles when the business covers the daily and monthly needs without considerable negatives that means the business process cover most expenditures demands and on the safe threshold of financial road. If the business process fit enough to be successful and revenues in progressive growth to create the liquidity cushion of the business that considered more preferable and much healthier form of profitable benefits. In cases of the liquidity got accumulated continuously the company or the business cycle looking to external fun to finance their extension projects instead of using their own money. As a hidden parameter for liquidity volume inside any business determined and measured by number of creditors involved and share part of credit money. Because simply impossible to find any creditor (who offer funds for projects) pouring money in a business not only self-sufficient but also own solid liquidity amounts to cover funds pay off. As a fact; it is simple now to see and understand why there are many insurers deadly insist to work and make a good deal contracts with health care providers whether over the public and private sectors.

There are some important parameters actually make the healthcare systems stunning ground for self-sufficient on any level of work. First, the continuously high demand from whole society segments that makes the hospitals and private providers could not find any opportunities to take a vacation especially in over population countries. Second; in some cases complete absence of willpower of value receivers who do not get the full idea from medical unnecessary expenses. Third; constant assets portfolio of the medical business that means medical assets are long term and difficult to be changed on short term. Forth; the governmental support regularly and academic provision for research and development by projects which build additional revenues in case of stuff training and certificates credentials for them. 

Fifth: corporation and private firms support providers to build indirect prescription and diagnostics products loyalty toward their own products. Sixth; this occasionally but still form some sort of revenues for medical providers who like to share and contribute with, some providers used to get some  funds in order to do medical and therapeutic campaign in remotely site of small towns and villages that cover and share medical values in short time with high benefits in return. For sure funds arrived from private companies who want to advertise and make their own products popular and from other side from government or external (abroad) to help low income inhabitants. There are many of other ideas to create and build additional and seasonal occasional revenues to cultivate the idea of healthcare self-sufficiency and hope next time you heard someone talking about that medical sector does not have enough money for improvement and development show him/her this post hope to get the real realistic medical work process. Although of all; to be hundred percent self-sufficient in your work is not fit with the country enemies and greedy neighbours because they somehow want to get some benefits from the country wealth but at least put the debits in normal level keep most of stakeholders in safe and secured point and make them get considerable level of benefits in return make them out of your business. Full health J