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The mechanisms of designing insurance plans to address the full continuum of individuals' needs

Maxim, Patsy The mechanisms of designing insurance plans to address the full continuum of individuals' needs. Master Essay, University of Pittsburgh.

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Abstract

With the Affordable Care Act’s increasing focus on preventative care and many insurance companies seeing losses from the marketplace population, doctors and insurers are turning to address the causes, or social determinants, of health through program and benefit designs. When structuring these insurance plans, it is most effective to start with the population being served and its needs. Three major ways insurers are shifting to be proactive and cover individuals’ full spectrum of needs is through covering preventative services, Value-Based Insurance Reimbursement, and Accountable Care Organizations. Once insurers create plans and programs to address populations needs they then need to focus on gaining and retaining membership. The public health relevance is through exploring how insurance companies have been shifting to become public health organizations, focusing on preventing diseases at the root of the problem, providing individualized care to meet the needs and expectations of members, and promoting general community health.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Maxim, Patsypmm62@pitt.eduPMM62
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFriede, Samuelfriede@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTerry, Marthamaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 12 Jul 2017 19:36
Last Modified: 05 Sep 2017 22:55
URI: http://d-scholarship.pitt.edu/id/eprint/31167

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