Health Plans Organization Chart - Improvement

Health Plans: Improvement Templates

What is an Org Chart?

Health Plans Organization Chart

What is Health Plans?

Health care plans are a part of the overall health care system. Health plans provides essential services to health insurance customers and coordinate delivery of health plan benefits.

    • Purpose
    • Health plan companies handle the delivery of health insurance plan benefits to customers and address customer issues. Back office activities of a health plan require intensive coordination, and the administrative costs of a health plan significantly affect financial stability. In addition to plan costs, customer service is also a vital metric of plan success and a primary responsibility of the organization.

    • History
    • The delivery of health care has been a specialized task from early in recorded history. The ancient Greeks developed medicine and surgery as a scientific endeavor, and Hippocrates, in the fifth century BC, established the foundational ethics of the medical profession: what is now known as the Hippocratic Oath. By the second century AD, the Roman physician Galen significantly advanced anatomical study and the practice of medicine. Even early physicians were liable for their mistakes, and the profession has been the subject of continuous legal regulation. Into the twentieth century, however, most doctors were paid directly by their patients for services rendered. Medical procedures were relatively inexpensive because they were severely limited by a variety of factors. The scientific advances of the nineteenth and early twentieth centuries - anesthesia, disinfectants, etc. - increased the scope of procedures that doctors could effectively perform, as well as the cost of those procedures. Early twentieth century 'sickness insurance' had mainly covered wages lost because of illness rather than the less significant cost of health care itself, and modern health insurance plans did not become widespread until the middle of the century.

      Wage controls during the Great Depression encouraged employers to offer health insurance as a way to attract quality workers without violating caps on pay. Employer-provided health insurance increasingly became a characteristic of the US health care system, while Europeans experimented with government-provided health care coverage since Germany began to establish the first national system in 1883. The UK passed the National Insurance Act of 1911 that eventually produced the National Health Service in 1948, and many other countries also established national systems after WWII. US Federal regulation of health care and health insurance produced Medicare and Medicaid in 1965, and continued into the 1970s when Medicaid expanded and child-specific plans were introduced in an effort to reduce the rising number of uninsured Americans.

    • Today
    • In 2010 the US Congress passed the Patient Protection and Affordable Care Act, along strict party lines, in an effort to ensure national health insurance coverage. Although the Supreme Court upheld some of the most controversial provisions in 2012, the future of the law remains uncertain because of committed Republican opposition. Continued scientific advances of the early twenty-first century have produced increasingly effective, and expensive, medical treatments and procedures. Health care costs and health insurance premiums, as a result, continue to rise annually by substantial percentages and generate significant burdens for governments, employers and families. Cost reduction, especially administrative costs, are of vital concern for all health plan operations.

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