here are challenges for health insurer and one of them is to keep the premium to the minimum. The problem is that health insurer are not the are not the price setters for the benefits payed out. What health insurance is about is to do their best to cover hospital cost etc. HBF consistently negotiates with hospital to keep premium down to the minimal. Hospital would like to increase prices as much as possible but health insurer (HBF) would like to keep it minimal.
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There was a year that they could not agree on a rate.Hospital wanted to increase bed rate for HBF members by much more than what was justifyable. Issue was how to respond to that request cause ultimately it affects HBF members.
Hospital was under pressure to get a better return due to shareholders so that they can increase share price. they were looking for the highest increase. HBF interest was to look after members so that they wont have to pay a large sum of premium. Different in opinion on what drives the business
If HBF were to rolled over for the rate that the hospital would increase on, other hospitals would pressurise them to increase rates in all other hospitals as well. It could become a habit. That would have put a whole lot of pressure on the health premiums. there was an issue of basic financial management.
This assignment challenges students to formulate a professional response to in-depth issues contained in this case which is in the description above. Students will act as an independent professional business consultant reporting to senior managers of the company concerned. Students are expected to provide informed and robust advice to this business client. A sophisticated understanding of the critical aspects of this case needs to be demonstrated. A succinct and high impact report is expected.
The report is expected to be <2,000 words, including an Executive Summary (<300 words) but excluding References and Appendices. A table of contents is unnecessary.
Please support assertions made about the case being critiqued. Students are strongly advised to refer to a minimum of five relevant and credible sources.
Suggested headings for Video Business Case Report
Executive Summary (<300 words required)
A) Issues
he issue or problem to be considered critically is stated clearly and described comprehensively (delivering all relevant information necessary for a full understanding). There are no omissions and/ or errors.
B) Causes
All underlying causes of the issue/s are precisely identified and expertly articulated.
C) Alternatives
Presents and evaluates alternatives in a way that demonstrates a comprehensive understanding of the relative merits and drawbacks of each alternative.
D) Decision Criteria
A coherent and complete analysis is based on complete use of all relevant information, concepts and methods. Information used is gathered from many diverse high quality sources.
E) Recommended Solution/s
he conclusions or solutions are comprehensive, relevant, significant and organised. They are logically supported by the evidence and the process of analysis. Assumptions are comprehensively described.
F) Implementation and Implications
Thoroughly evaluated the most appropriate implementation and all of the relevant implications of the recommended solution/s.
TIMES NEW ROMAN (12 FONT) WITH 1.5 SPACING,
CHICAGO REFERENCE WITH IN TEXT CITATION
