1. Discuss one of the key ways that a typical board can lower an organization’s risk profile. Consider the following questions as you post your initial response:
• Which function of the board is related to risk management?
• What are the obligations of the board?
• How do obligations differ in a for-profit versus a nonprofit organization?
2. Identify a situation that may make it difficult for health plans to develop and maintain a network. Choose one approach that a health plan might take to overcome this challenge and consider the following questions as you respond:
• Why do you feel your selected approach is the best option?
• How might your approach differ depending on the environment?
o A rural area
o A medically underserved area
o A community in which there is little competition among specialists
3. Discuss how utilization management may change in the future. Consider the following questions in your response:
• What are the existing challenges in utilization management that would evoke changes?
• What are the primary changes that will likely occur?
• Why do you think these changes are imminent?
• How will these changes impact medical care processes and outcomes?
4. Identify what you believe to be the most significant trend or change in the prescription drug benefit over the past 15 years. What impact do you feel this has had and to what degree do you think it will continue to have an effect?
5. What is the value of disease prevention? Provide an example of a disease prevention program (either within the U.S. or international). Include a discussion of how a health plan would accomplish the following:
• Implement a prevention program
• Monitor/measure a prevention program
• Modify a prevention program as a result of successes/failures
6. Identify and explain a key difference in marketing a managed care program to a for profit business as opposed to a nonprofit business.
7. There are a great many issues associated with adapting to local conditions that U.S. Managed Care Organizations (MCOs) abroad have had to face. Issues include:
• Lack of standardized coding systems
• Established lines of physician income that are threatened by managed care
• Cultural sensitivity
Explain which issue you believe poses the greatest challenge and discuss a strategy that could be leveraged to deal with this issue.
8. Each state is responsible for providing regulatory oversight for health insurance provided to its residents. Identify the state in which you live and explain some of the key regulations that it imposes on health insurance markets. This can include:
Saving money Sector Fragility Causes Distributed: 24th January, 2018 Last Edited: 31st July, 2018a Disclaimer: This paper has been presented by an understudy. This isn't a case of the work composed by our expert paper authors. You can see tests of our expert work here. Any feelings, discoveries, conclusions or suggestions communicated in this material are those of the writers and don't really mirror the perspectives of UK Essays. Talk about components which have unequivocally added to the delicacy of the contemporary keeping money parts, as uncovered as the ongoing worldwide budgetary emergency. Arranged by: Ivan Gnatiuk 37193 Artem Zaiets 36981 Stamp Pohodin 37141 Presentation Right off the bat, emergency was initially begun in US where it was a consequence of gave social arrangement. Specifically, government permitted, even demanded, on dissemination of house contracts among rich piece of society as well as among poor one(so called NINJAs No Income, No Job, no Assets). Second piece of this strategy was a remittance on offer of 'sets' or securitized packs of home loans among banks. Market around then was at the development around then i.e. desires were certain and showcase acknowledged securitized sets of home loan credits they spread among US as well as around the entire world. In detail, banks progressed toward becoming holders of hazardous resources in an extensive amount that give great return amid the development however move toward becoming wellsprings of hazard amid retreat. Second essential factor was an asymmetry in data i.e. banks who sold this packs thoroughly understood their account holders and purchaser of ' securitized' package has no clue about quality or capacity to pay of indebted individuals in this package. Consequently, contract packs were spread the world over with no data about capacity of cash return just before advertise fall i.e. with an adjustment in liquidity to low because of negative desires and following question of saves money concerning each other. Accordingly, groups lost their esteem in view of that reality that chance of reimbursement in this manner esteem was low subsequently gathered obligation commitments turn into a useless and chilly be simply erased shape resource rundown of bank they as of now arranged. In this manner, many American as well as European banks, benefits establishes and even insurance agencies endured of ongoing money related emergency. Besides, reliance in euro region just reinforced an impact. Right off the bat, securitization is where home loans and credits with an alternate development gathered into vast sets for additionally offer available. The issue of such a way activity arrangement is an asymmetry in data i.e. just dealer realize what percent of credits are trustful and have a vast chance of reimbursement later on. Interestingly, now, Federal Reserve has a direction that require keeping a small amount of credits i.e. not to offer all credits given on the budgetary market that serious banks to be more watchful with their account holders. Primary reason of fall was an unpredicted unification of two elements. These elements were fall of lodging market in one specific city or territory as well as it spreading among the entire nation with additionally fall of money related markets. This impact was quickened by relationship of managing an account framework. For instance, confused structure of interbank advances, for example, credit-default swaps where in the event that outsider default merchant consented to remunerate purchaser. Fall of such a substantial bank as Lechman Brothers made frenzy among lenders as well as doubt among banks. It was a standout amongst the most hitting factors. Banks began to keep a lot of money. In such circumstance managing an account framework wind up inadequate and just harm economy; gathering money and diminishing by and large liquidity i.e. banks turn into a money gatherers and just decrease cash multiplier. At the point when cash request is inelastic, increment in cash supply does not affect liquidity i.e. financial approach wind up incapable i.e. sooner or later holding of money turn out to be more gainful than some other speculation. Along these lines, national bank free quantitative instrument of market control. Banks begin to purchase 'safe' government limits with point of security of their capital and cutoff their credit appropriation to diminish danger of not reimbursement of credits given. The unpredictability of banks Specifically, banks assume an imperative part in deciding the emergency. Issues experienced banks were because of awesome doubt by clients. That is, the client trust in banks declined and that impacted bank returns and stock costs. Stocks are more unsafe, which in term increment banks stock unpredictability. In fund, instability alludes to the standard deviation of constantly intensified by the arrival of a money related instrument for a specific timeframe skyline. Along these lines, the arrival vacillates after some time and, accordingly, an imperative determinant at the cost of the offers. This is on account of the unpredictability demonstrates the standard deviation of stock profits and depends for the danger of these stocks to hold. Therefore, an expansion in unpredictability prompts bring down stock costs and the other way around. As per Choi et al. (1992)xi the loan fee variable is vital for the valuation of normal loads of money related organizations in light of the fact that the profits and expenses of budgetary foundations are specifically reliant on financing costs. Also they say a model which expresses that three distinct stuns influence bank's benefit amid a given period to be specific; loan cost, swapping scale and default stuns. Since these three elements affect the benefits of banks, it has additionally an incredible effect on its unpredictability of stocks. The loan fee straightforwardly impacts the unpredictability. Benefits of banks are controlled by the financing cost. As specified, the incomes banks acquire are the premium installments of clients. The expenses are the installments made to the clients. So an expansion in the loan cost the banks pick up will expand the banks' benefits and in this manner make those banks' stocks more appealing. Speculators can get more profits on venture yet additionally can win cash by purchasing low and offering high. So when a bank is doing admirably, stocks costs will increment and that outcomes in a saver venture. This causes a reduction in the instability of those stocks. So an expansion in the loan cost, at which banks loan, prompts a decrease in the stock instability and actually. The financing cost at which banks 'obtain' has another impact on its stocks. A development in that loan fee will rise banks expenses, and in this way diminish the banks' benefits. That 13 make the stocks less alluring and causes a decrease in its costs. So the development of that financing cost causes an expansion in banks stock unpredictability and the other way around. Grammatikos et al. (1986)xii researched the portfolio returns and hazard related with the total remote cash position of U.S. banks. They found that banks have defectively supported their general attest position in individual outside monetary standards and presented themselves to swapping scale chance. This reality proposes that conversion scale hazard may essentially influence bank stock returns. In this manner, it likewise influences the instability. To make business globally you generally need to change over your cash. That is the reason it is particularly for banks an essential factor. Organizations dð¾ business with different enterprises globally through banks. Banks hold the remote money which speculators and organizations need to purchase keeping in mind the end goal to contribute or work together universally. Besides the conversion scale characterizes likewise in which nation it is alluring to do speculations. For instance, when the conversion scale is low for Europeans with the goal that the euro/dollar is low, it is alluring for Europeans to make interests in America. It is advantage for European banks since European financial specialists are currently purchasing dollars from the bank. Since speculators need to pay charges for that and banks have more cash to loan out, the benefits are developing which implies that the unpredictability is decay. So an expansion in the conversion scale diminishes the unpredictability. Default stuns are as indicated by Choi et al. the last determinant of the banks benefit and in this way banks stock unpredictability. Default happens when an account holder has not met his or her lawful commitments as per the obligation contract. This can be that he has not made a booked installment, or has damaged a credit state of the obligation contract. A default is the inability to pay back a credit. Default may show up if the account holder is either unwilling or unfit to pay their obligation. This can show up with all obligation commitments including bonds, home loans, credits, and promissory notes. So it is an imperative factor in the managing an account industry. At the point when immense measure of clients default, the banks have a high awful obligation cost. This prompts an expansion in the unpredictability. Besides if the danger of default rises, the loan cost ascends also in light of the fact that banks need to be made up for this hazard. As we have seen, an expansion in the loan fee implies a decrease in unpredictability. So stuns in default mean stuns in unpredictability. This can be either up or down. When we investigate the determinants of the instability of banks stocks, we can see that everything relies upon the condition of the economy. At the point when the economy is solid, there are a considerable measure of 14 activities in the business sectors and in addition in the keeping money advertise. Companies are contributing a great deal and therefore are getting from banks; the lodging market is doing admirably which implies a ton of home loan advance for banks. Generally there is a gigantic measure of business for banks which implies that banks are doing great and therefore stock costs are expanding, which shows low unpredictability. In actuality, amid monetary emergencies it is the other path around which we will find in the following part. Banks unpredictability in emergency Amid financial emergencies, we have seen that the economy as a rule is deteriorating, amid these years banks convey a great deal of hazard that clients will default. That is, the danger of having a>GET ANSWER