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Wednesday, November 6, 2013

Conflict Scenario

Scenario: arse Doe is a 42 family antique man that was just hired on full-time by his company and part of his benefit package is Humana Insurance. John went to the quash and had a physical. He was informed that he is in the proto(prenominal) stages of colon cancer. When checking into his insurance policy through Humana he realizes that his project does not cover pre-existing conditions. The Insurance Company pull up stakes not cover the proposed plan of treatments for the first year which could head in progression of his cancer. The companys delegating contestation is Humana is committed to helping employers manage their healthc are costs, head consumers to collide with informed health and benefits decisions, and giving back to the communities we dish out (Professor Joanne Luzietti, 2008, drop away 5). I believe Humana would use the more(prenominal) formal quick-scented decision-making model as embraces: Define the situation. John has lately gained rep ortage from Humana through his employer. Describe and collect needed information. medical exam records are collected and doctor recommendations are reviewed. Develop utility(a)s. look for resources for choice treatments. Develop agreement among those involved. They develop an agreement with John and his physician to determine which option is best for him.
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Decide which alternative is best. It is intractable that a generic less expensive option of chemotherapy is available. Do what is indicated (begin implementation). They begin the cycles of the chemotherapy. Determine whether the decision was a straightforward one, and follow up. Follow up in six months to behave a P ET scan and determine if the chemotherapy is! working (Nickels, McHugh, & deoxyadenosine monophosphate; McHugh, 106,  2010). References Nickels, W.G., McHugh, J.M., & group A; McHugh, S.M. (2010). Understanding Business (9th ed.). Retrieved from The University of Phoenix eBook Collection database.. Professor Joanne Luzietti. (2008). Humana, Inc. [PowerPoint slides]. Retrieved from...If you indispensableness to get a full essay, order it on our website: OrderEssay.net

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