HA3120D – Essentials of Managed Care SU20 B – Section D01
HA3120D – Essentials of Managed Care
LP06 Assignment: Employer RFP Paper
Directions
Employer RFP Paper: (Read Chapter 5 and 7.)
SCENARIO: You are responsible for the request for proposal (RFP) department in an MCO. Several employers have come to you looking for health insurance benefit offerings to its employees. You are to provide a package of health care insurance benefit coverage recommendations based on the size of each company: small group, medium group, and large group.
a.For each company size, recommend the services you would offer that sized company. Include how those services would be organized. You may assume anything you want about the employer. Incorporate your assumptions into your paper.
Be sure to include such things as what payment systems would be implemented (fee-for-service? capitation? deduction? and so forth).
How would you incorporate inpatient and outpatient services? How would you handle behavioral health services?
b.For each company size, your paper should be about 2 to 4 pages in length. Double space and use 1 inch margins all around in 12 point Times New Roman font.
c.Use headers freely to help outline your various recommendations for structure and content
d.There is no one correct answer to this. Your task is to demonstrate through this assignment that you understand the structure, internal operations of MCOs and health care options as presented in the text.
e.When writing, consider these questions:
What might a small/medium/large group employer look like?
What sort of financial structure would you recommend?
What would be the physician relations and so forth?
Use the text as a guide as to other factors that should be included in your paper. Details are good here.
f.Consider the reader in how you structure each of your employer recommendations. Do not write paragraphs that are 50 lines long. Break up your content into paragraphs that reflect changes in topic or thought. As stated above, use headers freely. Proper grammar is important. Proofread your assignment for spelling and grammar before you submit it.
Respond to the following:
each assignment needs to. be on its own word document.
Unit III Journal
Find an example in your current career or life to which one of the motivational theories can be applied. How would you apply the chosen theory? What do you expect the outcome to be? Your journal entry must be at least 200 words in length. No references or citations are necessary.
Unit III Case Study
For the case study, we will focus on the importance of safety and all parties helping to make safety a priority. The effectiveness of the safety training will depend on how prepared the participants are for the training and their perception of the training.
Review “Case: Safety First” located in the textbook on pages 199-200, and respond to the prompts below. You are not required to answer the questions at the end of the case study in the textbook.
Safety First
BNSF Railway is a North American freight transportation company with over 32,000 miles of routes. BNSF Railway hauls agricultural, consumer, and industrial products and coal. BNSF Railway puts safety above everything else it does, including productivity. BNSF Railway recognizes that safety is based on having well-trained employees who share BNSF Railway’s vision for an injury- and accident-free workplace and who are willing to look out for one another. Thanks to its employees’ commitment, a carefully maintained network and equipment, and well-prepared communities, BNSF Railway is a safety leader in the rail industry. Approaching Others About Safety (AOAS) is a training program for all BNSF Railway employees. Four hundred and fifty BNSF Railway employees train their peers. Employees serve as trainers because page 200BNSF Railway believes they are in the best position to keep themselves and their peers safe. The goal of the program is for BNSF Railway employees to be confident about giving feedback to each other about safe behavior and avoiding unsafe situations. Employees need to learn the value of providing feedback when they see unsafe behavior or situations, including positively recognizing when someone is working safely or correcting them when they perceive another employee is at risk. Training should focus on the types of exposures that tend to result in the most injuries, including walking/path of travel around trains, rails, and equipment, pinch points between the railway cars, and climbing or descending locomotives and railway cars.
Describe the different types of instructional characteristics that this program should have for learning and transfer to occur and for a decrease in injuries and accidents to result. Would these characteristics vary depending on who was attending the program (e.g., managers, train crew, employees who maintain track, structures, or signals)? If so, how would they vary? Explain how a community of practice (COP) could be beneficial for this program.
Source: Based on M. Weinstein, “BNSF Railway Is on the Right Track,” training (January/February 2017), pp. 42–44; “BNSF Railway: Approaching Others About Safety,” training (January/February 2014), pp. 108–109; www.bnsf.com, website for BNSF Railways, accessed March 11, 2015.
Your case study should be at least two pages in length. You are not required to use APA style for this assignment; however, your writing should be clear and concise.
Unit IV Journal
Consider the evaluation methods discussed in this unit. What method would you select for your organization’s training? What factors led to this decision? Your journal entry must be at least 200 words in length. No references or citations are necessary.
Unit V Journal
Technology influences the process of learning. As a member of the workforce, how does technology affect the training demands in your work environment? How do you see technology changing your duties and responsibilities in the near future? Your journal entry must be at least 200 words in length. No references or citations are necessary.
Almost every organization with more than 200 employees has at least one significant conflicting HRM practice, which undermines the total performance of the organization at least marginally—examples abound. Discuss one or more conflicting practices you have experienced and recommend one or more alternative HRM practices that could appropriately minimize, or even eliminate, the conflict. Explain in detail. Present your views in 200 words or more in your discussion post. Use at least two scholarly source to support your ideas. Respond to at least two of your classmates’ posts.
For this option, your final Portfolio Project is a thoughtful analysis of an ineffective or poor leadership decision. You may use a well-known leadership decision, such as the 2011 decision to split Netflix, which resulted in serious financial losses for the organization. Your project must include the following:
This assignment may be delivered in the form most suitable to your response. You can write a paper or create a slide presentation, website, or video. You could also try out a new tool such as Prezi or VoiceThread.
You have presented your argument for raises and benefit increases to the management negotiations team. They reply with a proposal of their own during your next meeting. Their proposal offers no increase in wages or benefits. They also ask that employees arrive 15 minutes early to work every day to attend a safety meeting and to review goals. Employees will not be paid for these extra 15 minutes.
How will you respond to this “offer” from management? Are there things you are willing to do to entice management into offering a raise? What is your leverage in this situation?
Write 4 pages with 5 references
Imagine you are the HR director of a growing international staffing organization that services both North America and South America. The CEO has come to grips with the fact that the HR group, which is currently decentralized, is in need of restructuring to account for the expected increase in revenues. The CEO has asked for your opinion on how to best restructure the firm. Based upon your knowledge, recommend an organizational structure (e.g., functional, matrix, or projectized) that will provide growth for the firm. Also, assess the influence that this project will have on the customers (who are located throughout the Americas) that are serviced by the HR group.
