anticompetitive actions.edited
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Nairobi Institute Of Business Studies *
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Health Science
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Nov 24, 2024
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What remedies are available when excess profits occur because of anticompetitive actions, lack of
patient information, or comprehensive insurance coverage (because patients have little incentive to be
concerned with prices)? Chapter 29 Reading 200 words
The competition encourages organizations to offer products and services of high quality at a low price.
When an organization faces competition, it improves its quality of services and expands market share
since they are more innovative and diverse in its services to increase performance. To achieve the
competitive aspect in the market, it is essential to facilitate different policies on competition, especially
in healthcare organizations. Many challenges are faced when anticompetitive actions, lack of patient
information, or comprehensive insurance coverage are experienced for excess profits. To resolve the
challenges, it is essential to set up policies that will control service delivery in healthcare organizations.
Price setting or limiting production or conducts that are unilateral by healthcare organizations, especially
those with increased power, are responsible for excluding the competition aspect, which can only be
controlled by policy creation.
Besides the competition, when patients are not effectively informed on different aspects of their
treatment process, the price aspect is manipulated, leading to excess profits. Policies to ensure that
patients are well informed on every method of treatment service will eliminate manipulation and be
effective and reliable offered by the healthcare organization. On the other hand, insurance companies'
policies must be followed, especially when treating patients under competition, to lower the cost of
treatment. Insurance organizations tend to prefer low-price healthcare organizations, unlike profit-
interested organizations, which can only be comprised through ant-competition policies that will control
cost, service delivery information, and patient transparency.
2.
https://www.healthaffairs.org/doi/10.1377/hlthaff.2022.01542
Summarize or comment on the article and one question of the article.200 words
Profit increase in nonprofit organizations has increased over time, unlike in charity care hospitals, which
is facilitated by the organization being exempted from paying most federal state taxes and attaining tax-
deductible contributions, leading to increased profit. Unlike charity organizations, nonprofit
organizations have been involved in different activities that increase profits, incredibly demanding
payments from patients for the health services they offer. The element makes the organization expand
its profit margin. Additionally, nonprofit organizations have been viewed to offer minimal charity services
as required based on the value of tax exemption, leading to increased profits. Most nonprofit
organizations utilize the tax exemption aspect to make profits for the organization, unlike the federal and
state government, which requires it.
Although the organizations utilize the profits in reimbursements and unexpected shortfalls within the
organization, it is essential to lower the cost of services and increase charity healthcare services in the
communities. The justification for the favorable tax treatment of nonprofit hospitals must be answered
since they utilize the advantage of making profits rather than increasing charity services to patients. The
organizations must follow the required policies in improving charity care services like the government
needs and lower the profitability for increased patient service delivery.it is essential to adhere to the
policy of charity services according to the tax exemption strategy and policies for effective treatment and
improved patient care.
3.
How do you think the balance between public health and private insurance company profits can be
effectively maintained? 200 words
Private insurance company main target is to make profits, unlike public health organizations. It is
essential to design strategies to facilitate competition in public health by embracing different private
insurance companies to offer patients diverse insurance coverage options. On the other hand,
developing policies to control the cost of public health services will help ensure that insurance
companies are in conscience with both health organizations. To achieve these aspects, the federal and
state governments and private insurance companies must design policies that will facilitate effective
service delivery to sustain patient service delivery while utilizing insurance from private organizations.
Public health tends to offer services at the lowest cost, which is the main interest of private insurance
companies since it maximizes profit making. When there are effective charges by public health and
private insurance companies that make timely payments, both organizations tend to increase their
profitability to achieve their target objectives. Designing policies on how both organizations will conduct
their business is the most compelling aspect, especially on payment and cost of services. It is the interest
of each organization to make a profit without charging more to the patients through insurance cover,
which the insurance cover regulatory board can facilitate for the profitability of both beneficiaries.
4.
How can we improve profitability without raising rates in healthcare? 200 words
Different activities are involved within healthcare organizations, which are considered to increase
expenses. It is essential to design different strategies to reduce the costs within an organization to
increase profitability. Some activities within healthcare organizations are regarded as a liability, especially
over employment. Employing many workers within a healthcare organization, unlike required, is a
liability, and lowering the rate of workers to the standard number will help increase profitability. On the
other hand, reducing expenses is another strategy for increasing profitability within healthcare
organizations. Getting discounts from suppliers, especially on bulky supplies, is a strategy to lower the
costs within an organization. When products are discounted, the funds can be utilized in other beneficial
ways to increase the organization's profitability.
Increasing performance within the healthcare organization is another strategy that healthcare
organizations can utilize to increase profitability. When performance is improved, patients, among other
customers, are satisfied with the increased competition aspect in the market, leading to increased
profitability. Additionally, improving technology utilization in healthcare organizations will lower the rate
of labor needs and enhance the quality of services, leading to increased profitability within the
organization. Modern technology tends to improve healthcare services and eliminate nurse burnout
through faster and more efficient delivery of services. Through these services, healthcare organizations
can increase profitability without increasing service costs.
5.
On Chapter 29 & 30 Reading, write about their observations and reactions, and how the learning
could be used in their future work as health care professionals. 200 words
It is essential to design different strategies in healthcare organizations to ensure that the target
objectives are achieved, especially in improving the care of services. Although it is the role of healthcare
organizations to improve the quality of care, the federal government, state government, and insurance
companies are responsible for improving the quality of healthcare services in different ways. Conscience
by these institutions facilitates a decrease in care costs, improving the quality of services. Designing the
most effective strategies is the most effective way to ensure that healthcare organization reduces the
rate of care improvement since it is their primary objective.
Quality of care improvement and low-cost facilitation is an aspects that can be facilitated through
learning and research. Facilitation of learning different theories on how to improve health care at low
cost is an effective strategy that can help in the future of care services. Some challenges are being faced
in modern healthcare and insurance organizations, and through learning and research, the challenges
will likely be resolved in the future. On the other hand, working as professionals in healthcare
organizations helps to improve the quality of care services since it lowers the rate of errors within the
system. Different errors are faced through the service delivery process, And learning and training, the
challenges are lowed to improve the quality of care. Healthcare organizations and healthcare
practitioners need to facilitate learning and training processes to improve their professionalism aspect
within healthcare organizations.
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