Health Organization Evaluation Sample
Research a healthcare organization or network that spans several states within the United States (United Healthcare, Vanguard, Banner Health, etc.) ( Your Case Study must be about a Healthcare Organization ).Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.
- Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
- Describe the health care organization or network.
- Describe the organization’s overall readiness based on your findings.
- Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
- Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
- Propose a theory or model that could be used to support implementation of the strategic plan for this organization
- Explain why this theory or model is best.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. You are required to submit this assignment to Lopes Write. Refer to the Lopes Write Technical Support articles for assistance.
Health Organization Evaluation Sample Paper
United Healthcare is believed to be the largest medical insurance provider in the United States. The organization is well-known for its detailed strategic approaches to health care insurance and its strong commitment to innovations and cost-effective developments targeting most, if not all, community members.
Today, United Healthcare is looking for new ways to strengthen its market position and enhance the quality of its services. One of the distinguishing features of the health organization is the presence of a detailed strategy that confirms its readiness to meet the needs of citizens in the next decade.
Still, the organization will have to be more detailed in meeting the needs of the most vulnerable population groups and, at the same time, learn to balance the objective requirements for medical care quality and subjective criteria of patients’ experiences and satisfaction with United Healthcare.
United Healthcare: Background Information
United Healthcare is one of the leaders in the U.S. medical insurance industry and the largest health carrier in the U.S. The company is strongly committed to delivering innovative health and insurance products and services to more than 70 million Americans (United Healthcare, 2012a). The organization’s nationwide network currently covers more than 700,000 physicians, 80,000 dentists, and almost 6,000 hospitals(United Healthcare, 2012a).
The organization’s pharmaceutical management program provides affordable drugs and pharmaceutical preparations to almost 13 million people (United Healthcare, 2012a). United Healthcare claims to be making considerable investments in research and development. The organization also reports considerable improvements made to the quality and efficiency of the service delivery due to such investments (United Healthcare, 2012a).
However, this information alone cannot help assess the organization’s readiness to meet the needs of citizens in the next decade. Therefore, the needs and requirements imposed on health care in the next decade need to be evaluated.
United Healthcare: Readiness to Meet the Needs of Citizens in the Next Decade Apparently, the quality of the organization’s decisions and activities in the next decade will be determined primarily by the growing costs of healthcare and the growing scope of insurance coverage in the U.S. The most problematic will be meeting the needs of the low-income populations, which have not typically had any medical insurance and, therefore, may experience serious health problems (UHC Community, 2013).
The organization will need to estimate possible enrollment targets, establish rates and deliver new care packages (UHC Community, 2013). Taking into account the new legal requirements and the implementation of the new healthcare reform, United Healthcare is likely to face tough organizational, medical, and cost challenges as it is trying to preserve its strong competitive position in U.S. health care.
At present, the organization is only partially ready to meet the health needs and challenges to be presented by citizens in the next decade. On the one hand, United Healthcare realizes the dramatic impacts which the expansion of Medicaid and other reform provisions will have on the nation’s health system (UHC Community, 2013).
The organization has set explicit strategic objectives and developed a comprehensive reform timeline that will facilitate the development and provision of adequate health policies. Value-based contracting and accountable care organizations (ACO) are likely to become the chief element in the creation of new models and approaches to health care in the
U.S. Still, the mere realization of the next-decade challenges can hardly suffice to bring United Healthcare to the desired strategic outcomes. The organization will have to make a series of strategic steps to ensure a high level of readiness for the next-decade work. United Healthcare should understand that those with the most urgent health needs will enroll first (UHC Community, 2013).
Consequently, the organization will have to develop new insurance and health care models to ensure that it can serve the needs of the newly enrolled populations in a cost-effective manner. At present, United Healthcare may not have enough network capacity to serve the needs of the newly enrolled population (UHC Community, 2013).
Thus, special attention will have to be paid to network expansion and growth. Finally, United Healthcare does not seem to have enough benefits and delivery packages to serve the needs of the future enrolls (UHC Community, 2013). Obviously, United Healthcare will have to go a long way to become an ideal partner and a cost-effective provider of quality health care to the existing and new populations.
