case study: business feels the consequences of the uninsured

In the course text, read the “Business Feels the Consequences of the Uninsured Problem” case on page 273 and consider how you would evaluate the uninsured problem from a stakeholder perspective.

1. Problem Statement: In your own words, describe the uninsured issue and its consequences.
2. Stakeholder Analysis: Analyze how this issue impacts the following major stakeholder groups:
   1. Providers: Hospital
   2. Providers: Physicians
   3. Consumer: Employers
   4. Consumer: Patient
   5. Third- party payers (insurers)
   6. Government

   
   Your analysis should include the overall perspective of each stakeholder group and the impact on cost, quality, and access from each stakeholder’s perspective. Refer to Table 14-2 on the top of page 274.

3. Industry Perspective: Based on your stakeholder analysis, explain the healthcare industry perspective on this issue over the next three years. Provide a discussion of this issue from a cost, quality, and access point of view. Summarize the overall industry perspective.
4. Conclusion/Recommendations: Finally, what is your overall evaluation of the problem of the uninsured from a stakeholder perspective? Offer a recommendation(s) for how this issue can be addressed using the parity of health care model. Be sure to support your recommendation(s) with scholarly and/or peer- reviewed resources.

Case Study: Business Feels the Consequences of the Uninsured Problem

Not only do healthcare costs reduce our nation’s ability to compete in the global marketplace, but also the loss of productivity due to illness or injury is of concern to any business. For the uninsured, time away from work further complicates family financial issues but also decreases overall productivity of the nation. Median time away from work in 2000 due to illness and injury was 6 days (median for males = 6 days; females = 5 days).⁴² A total of 1,664,000 days away from work were reported (those that were reported) in 2000.⁴³ In 1996, temporary illness or injury resulted in 1,234,000 people between the ages of 20 to 64 years to miss work.⁴⁴ Using the median days missing work per person (6 days) and the number of people missing work due to temporary illness or injury (1,234,000) by the percentage of Americans without health insurance (14.6% and removing the 24.7% of the uninsured that did not work), a crude estimate of workdays lost is calculated to be nearly 814,000 days attributed to uninsured working Americans. If those Americans had health insurance, how many days of missed work and productivity could have been avoided? If only 20% of those lost workdays of the uninsured could have been avoided, over 160,000 workdays could have been added to the nation’s productivity.

How do you evaluate the problem of the uninsured from a stakeholder perspective? Use the template or model below to summarize your thoughts and discuss this problem with others.

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