United Health Group Ingenix Subrogation Services

United Health Group Ingenix Subrogation Services The company that I am most familiar with and will be discussing is Ingenix a wholly subsidiary of United Health Group. United Health Group is the parent company of Ingenix, therefore a lot of the financial information and applicable laws, regulations budgetary information will be Ingenix and United Health Group. Other information that I will providing, will included United Health Group, because it fall under the parent companys financial and budgeting background in regards how they filed Form 10-K with the United States Securities and Exchange Commission. The financial reporting statement sheet that is filed on form 10-K are separated among the different business entities that is under the umbrella of United Health Group Incorporated. United Health Group Incorporated (2010) a diversified health and well being company, United Health Group offers a spectrum of products and services through seven was operating business: United Health Care, Ovations, Americhoice, Uniprise, Optum Health, Ingenix and Prescription Solution. In 1977, United Health Care Corporation was created and is now one of the largest health insurer in the United States. (http://www.unitedhealthgroup.com/main/Businesses.aspx, 2011) The organization that I am employed is Ingenix, in the subrogation department. founded by United Health Group in 1996 to develop, acquire, and integrate the worlds best in class health care information technology capabilities. Ingenix (2010) serve market needs for data and analysis, to build core data assets and expertise, built the largest health care expertise work and developed core intellectual property. Headquarter in Eden Prairie Minnesota, with annual revenue of more than $1.8 billion as of 2009. (http://www.ingenix.com/about/history/) In 2006, Ingenix emergence of market focused and launched and developed Ingenix Consulting, developed leading information based business solutions, health reform, payment, revenue cycle management, health IT. Between 2011 and 2014 Ingenix will enhance connectivity and workflow competencies, provide ubiquitous infrastructure to connect all parties, have close partnership with Optum Health in care setting and expand globally. (http://www.ingenix.com/about/businesses/2010) At Ingenix getting valuable information to the right place at the right time requires a unique set of strengths (http://www.ingenix.com/about/businesses/), Ingenix have built to stride to deliver the information and technology needs that are unique to health care, gathering information and analytics to make it useful. To create secure, interoperable networks that enable the exchange of information among communities, understand how those in health care actually can do their work; so that information can be seamlessly introduce the flow of their everyday activities. Critical to our success, Ingenix includes several best in class businesses with specific, leadership roles in healthcare. The market service by Ingenix is physicians, government agencies, hospitals, employers, pharmaceutical, and biotechnology. (http://www.ingenix.com/markets/2010) Ingenix ethics and integrity believes that no other industry deals with an individuals privacy and personal well being more intimately than healthcare. (http://www.ingenix.com/about/ethics-integrity/). As the leading health information company Ingenix maintains clear, firm policies on privacy and transparency, and promote an atmosphere of culture based on integrity, compassion, relationships, innovation and performance. Ingenix, (2010) has implemented policies, procedures and training ((http://www.ingenix.com/about/ethics-integrity/, 2010) in order to comply with the standards of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and Security Rule. (Understanding Health Information Privacy, 2011) Information is the lifeblood of health care, applied at the right time and in the right place, when decisions need to be made, information can enhance the affordability, quality, usability, and accessibility of care integrity (http://www.ingenix.com/about/ethics-integrity/). As with any organization a cost analysis will determines the benefits and savings that are to be expected from the organization systems and compare with the expected costs. The cost benefit analysis for Ingenix is used to determine the degree of access to or the benefit of health care services to be provided to their members. Since Ingenix is a wholly subsidiary of United Health Group it is a complex system complied of many other subsidiary that falls under the umbrella of United Health Group. The ethical consideration as it relates to Ingenixs finance and budgeting came under fire, when United Health Care-Ingenix was sued by the former State Attorney General Perry Cumo. Ingenix settled out of court in the amount of $350 million dollars that they agreed based upon the determination of reimbursement that were used by insurance company nationwide. It argues that United Health -Ingenix rate setting practices violated several federal laws, including ERISA, RICO and antitrust law. Since that time United Health -Ingneix ethical consideration regarding to their finance and budgeting has put in place, a system that will attained independent certification of security procedures, Ingenix will demonstrate that the company will recognized and accepted measures to safe guard its assets. Providing health services, Ingenixs revenue has increased, $271 million or 17% during 2009 to 1.8 billion primarily due to the growth in new prayer business and new internal offerings. The contract of Ingenix backlog revenue grew $80 million or 21% percent during 2009 to $2.2 billion, which was led by growth in the government and payer sectors (UHC 2009 Annual Summary Report, Financial Results, pg. 36) While reviewing United Health Care 2009 Summary Annual Report of the Financial Results, the information that is excluded is the cash flow for each operating services, it only included as a whole the cash flow of United Health Group from operations revenue, reached $5.6 billion, which represent 147% percent of 2009 net earnings. (UHC 2009 Annual Summary Report, p.33) In reviewing the financial report for 2010 for United Health Group, according to the report for the full year of 2010 the net earnings were $94.2 billion an increased if 8% year over and it includes a 10% percent increase, which is $24 billion. Ingenix increase sequential revenue by 21%, buy 2010 year end. (United Health Group 2009, Annual Report, p.33) Table1: United Health Group 2010: Earning Release-Financial Content Three Months Ended Year Ended December 31, December 31, September 30, December 31, December 31, 2010 2009 2010 2010 2009 Ingenix Revenues $715 million $536 million $592 million $2.34 billion $1.82 billion Earnings From Operations $101 million $74 million $70 million $284 million $246 million Operating Margin 14.1% 13.8% 11.8% 12.1% 13.5% Note: Financial Statement. Three Months Ending to Year Ending 2009-2010 Because Ingenix (2010) is a wholly subsidiary of United Health Care, applicable laws and any regulation with the new health care reform bill or better known as the Patient Protection and Affordable Care Act (PPACA) could potential effected the ability of price, managing medical costs, the enforcement that could have an affected on the companys financial position. These changes would have an overall effect, which will touch upon Ingenix that could including limited or reduced revenue, increase costs, and loss of businesses. These increase in costs and other liabilities associated with auditing and/or reviews cost, will impact future cash and capital requirements on the ability to maintain the quarterly divide payment cycle. Also this will affect the abilities to maintain the misappropriation of proprietary technology, and the ability to obtain sufficient funds from the other regulated subsidiaries (i.e., Ingenix) to fund United Health Group obligations. Ingenixs revenue cycle solution is part of a technology to improve the company financial and budgetary operations. The system will support the full spectrum of revenue cycle performance. The technology solution will included several systems from Patient Access Management, Billing Management, Payment Management and Audit Management technology to engage and conducted the finding of gaps in the ability to analyze the system for solutions. Ingenixs Management and Administrative Reporting Systems (MARS) have the capability of reporting expenditures, budget information, recoupment and collection according to federal and states criteria. MARS meets federal reporting and CMS system certification requirements with fiscal oversight and management. This reporting of various criteria will include funding sources, categories of the services and eligibility, the provider types. When processing and reviewing claims activity and the statistical analyst such how long it take to process claims, the remittance and payment summaries will be done for the financial analysis. (http://www.ingenix.com/government/solutions/business-intelligence-govt/solution/mars/features/, 2010) The MARS systems will provide specific provider either as individual or they will be categorize, in reporting which will include any error codes analysis, participation analysis, ranking and the status of filing of claims. With the MARS systems more than 80 core reports that will divided in six separated reporting modules and there will be one balancing module, that will provide the cost settlement and adjustment and financial transactions. (http://www.ingenix.com/government/solutions/business-intelligence-govt/solution/mars/features/, 2010) Ingenix-United Health group has to content with complex state and federal and local rules, laws and regulation in regards to their financial and budgetary operations, but it is bound by the United States Securities and Exchange Commission to file a Form 10-K at the end of each year on December 31, 2010, which is part of the annual report for financial reporting to shareholder, and company executives. (United Health Group, Financial Annual Report, 2010). United Health Care Group is highly regulated at the federal, state, local and also international. Therefore, since the signing of the new health care laws or new regulations, and/or changes in the existing laws including and the enforcement of them could have an adversely affect on the company (i.e., United and their subsidiary) financial position and cash flow. (SEC Form 10-K, pg 19) Each state that United Health Groups wholly subsidiary businesses ( i.e. Ingenix) operates in, is require to keep a minimum level of statutory capital. This could place restriction on the dividend and distribution that is paid by regulated subsidiaries, this would limit the base entitys level of those statutory income, capital and surplus United Health Group Inc.(United Health Group Consolidated Balance Sheet, pg. 59), conducted an audit in accordance with the standards of the Public Company Accounting Oversight (United States), the short term investments (in millions) for the end of the year of 2010 was $2,072 and for the year $1239.00 a gain of $833, the long term investments (in millions) for the year ending of 2010 $14,707 and for year ending of 2009, $13,311 a gain of $3396. (http://www.unitedhealthgroup.com/invest/2010/UNH-2010-10-K.pdf) Stated in the (United Health Group 2009, Annual Report) is that, Ingenix has increased their revenue by 17% or $271 million dollars in 2009, from the organic growth of the new payer business and new internal services offering a total of 1.8 billions. As Ingenix revenues backlog increased by 21% or 300 million dollars, during the same period during 2009, the growth in government and payer sector totaling in the amount of $2.2 billion dollars. The backlog for Ingenixs revenue as of December 31, 2010 was $3.3 billion that was up 47%. Therefore, Ingenix full and fourth quarter for 2010 operation is $284 million against $246 million for the same period a year ago. Earning from their operations was very strong, exceeding management expectation for the full year. Looking forward to the first quarter of 2011, it is on the fast track of having a positive revenue and cash flow.

Character Study Of William Shakespeares Hamlet English Literature Essay

When talking to Polonius ( Excerpt 1 ) , Ophelia about becomes dense. Although she expresses herself, she does so in an highly laden manner. When asked about Hamlets stamps, Ophelia responds by stating that she doesnt know what to believe. This is an unfastened invitation to Polonius to determine her sentiments in any manner possible. Proof of this is in Polonius response: Marry, I ‘ll learn you: believe yourself a babe By stating this, Polonius wants to pull strings Ophelia. A babe is frequently portrayed as guiltless, un-knowing, fleeceable, and easy influenced. Babies besides absorb about anything they are shown or told, and reiterate these things about precisely the manner they were presented. This is precisely how Ophelia is ; she is dumbed down in her relationship with her male parent. She becomes a topic of his, a figure to make his command. This is non the merely relationship where Ophelia is pushed around. Ophelias relationship with Claudius is even worse than her relationship with Polonius. Although Polonius uses Ophelia for aid in his Acts of the Apostless of espionage, Claudius uses Ophelia in even more evil commands, such as messing with Hamlets bosom. In Excerpt 2, Ophelia is in the state of affairs where she must deny Hamlet to see his response. This thought was largely formulated by the King to happen the beginning of Hamlets evident insanity. The male monarch, in an attempt to convey more stableness to his life, wants Hamlet to go stable as good. Because of this, he is willing to give the relationship between Hamlet and Ophelia to heighten his ain state of affairs. Claudius asks Ophelia to return Hamlets letters. Ophelia has no pick by to follow and as a consequence destroys her relationship with Hamlet. The Queens relationship with Ophelia is similar to the Kings relationship with Ophelia. The Queen is in a really commanding relationship ( as seen in Excerpt 2 ) ( Madam I wish it may ) with Ophelia. But, it is for a different ground. The King controls Ophelia as a device to break his ain state of affairs. The Queen utilizations Ophelia to bring out the jobs with Hamlet ( out of echt attention for Hamlet ) . But, the Queen is highly nescient and fails to recognize that her actions are really aching Hamlet more. The most interesting and most cryptic relationship is the connexion between Hamlet and Ophelia. Near the beginning of the drama, Ophelia references to Polonius an act of Hamlets that can be interpreted as confidant ( Just predating Excerpt 1 ) . Hamlet seemingly writes infinite letters to Ophelia during this clip, and it isnt until Ophelia ( non by pick ) returns Hamlets letters that their relationship alterations. Ophelia goes from being in love with Hamlet to feel foring him ( O, what a baronial head is here o'erthrown! ( III.i, 163 ) ) . On the other side, Hamlet is amused by the full experience. He to the full realizes what is traveling on with Ophelia, Claudius, and Polonius and he finds it entertaining. From that point on in the book, Hamlet uses Ophelia as some kind of amusement. BUT, deep down, it is evident that Hamlet is still really much in love with Ophelia. Ophelia has different types of relationships with different characters. The King uses Ophelia for his ain personal addition. Polonius uses Ophelia for aid in his Acts of the Apostless of espionage. The Queen utilizations Ophelia to happen out more about Hamlets issues. And Hamlet uses Ophelia for amusement. But, throughout the book Hamlet remains in love with Ophelia. All of these utilizations for Ophelia make her the biggest tool of Denmark. The motive of moving: Ophelias function Throughout the drama, Ophelia is forced into state of affairss of moving to carry through the command of others. The most prevailing of these state of affairss is where she must return Hamlets letters, a statement that she doesnt want/love him. This function of moving is meant to carry through Claudius, Polonius and the Queens purposes, which fit two other motives in the drama: misrepresentation and espionage. Ophelias moving was merely a portion of the larger programs of misrepresentation and espionage. Although Ophelia had literally no influence in the planning of the misrepresentation and espionage, she helped to transport it out, and is hence merely every bit guilty as the other plotters. Flowers: Ophelias Connection to Flowers OPHELIA There ‘s rosemary, that ‘s for recollection ; pray, love, retrieve: and there is Viola tricolor hortensiss. that ‘s for ideas. Laertess A papers in lunacy, ideas and recollection fitted. OPHELIA There ‘s fennel for you, and aquilegias: there ‘s herb of grace for you ; and here ‘s some for me: we may name it herb-grace O ‘ Lord's daies: O you must have on your herb of grace with a difference. There ‘s a daisy: I would give you some violets, but they withered all when my male parent died: they say he made a good terminal, — ( Sings ) For bonnie sweet Robin is all my joy. ( IV.v, 199-210 ) Ophelia chooses her flowers carefully. In making so she represents each of the characters in their ain manner, uncovering even more who they truly are. Rosemary/Pansies – Laertes: Remembrance of Polonius, maintain the memory of their male parent alive. Fennel Claudius: Obsequiousness of Ophelia, reflects their relationship. Columbine Claudius: Infidelity, non faithful in love for household and others. Rue Queen/Herself: Grief, mourning Daisy Queen: Dishonesty, fraudulence ( Queens headlong matrimony ) Violets Hamlet: Fidelity and truthfulness, Hamlet through his ain prevarications has helped destruct their relationship. This leads me to believe that possibly Ophelia isnt truly insane, possibly shes merely improbably angry and is blinded by her choler. She must hold put an atrocious sum of idea into these flowers, more than any insane individual can take the clip to make. I believe that she merely reached a breakage point ; she no longer wants to be used. The Tool of Denmark has broken. Note: Flower Meanings from hypertext transfer protocol: //aboutflowers.com/flower-a-plant-information-and-photos/meanings-of-flowers.html and hypertext transfer protocol: //www.800florals.com/care/meaning.asp

Don’t Skip Breakfast Essay

Have you ever felt uncomfortable physically because of skipping your breakfast? A nutritious breakfast bring us a fresh start of one day. Many people who want to lose weight choose not to eat breakfast. However, this method would only cause converse effects. We might feel deprived of energy and hungry all the morning as a result of skipping breakfast. In fact, breakfast determines our health condition. Skipping breakfast is a bad habit which will affect our health and we need to eat breakfast everyday. For one thing, skipping breakfast is not an appropriate way to lose weight. Surprisingly, a study from the Dairy Research Institute proved that citizens who don’t eat breakfast are weight more than those who do. The results indicates that those who skip it expend 40% more sweets, 55% more soft drinks, 45% fewer vegetables and 30% less fruit than those who eat breakfast(July 1, 2012)(mrbreakfast.com). Actually, eating a healthy breakfast could somehow help you to manage weight. A nutritionist Katherine Zeratsky, R.D., L.D. who works in Mayo Clinic in USA replies how it helps to get rid of needless weight in three main ways. â€Å"Reduced hunger, healthy choices and more energy.† She mentioned that when long-term fasting happens, the insulin response of your body would grow, then more fat would be stored in your body. She also states if you eat breakfast, you’re more likely to eat a healthy diet during the rest of the day. (mayoclinic.com n.d.)We prefer snacks such as chocolate bars to supply our energy when we are starved. Definitely, the diet which we planned is changed. Skipping breakfast makes us less efficient at work or study. Amanda Wynne of the British Dietetic Association told BBC News Online that studies of children who are at school reflects that eating breakfast help them to concentrate more in the morning. Another study from the Learning Connection Summit indicates â€Å"brain scans of children who eat breakfast show more activity than scans of children who skip breakfast(October 9, 2012)† (mrbreakfast.com). The energy we need is obtained after we have breakfast, therefore we have more strength throughout the whole morning. Obviously, we are more businesslike at work when we are energetic. We should be aware of the importance of eating breakfast.A 16-year research from Harvard investigated into approximately 30,000 subjects show that individuals who skip breakfast are 21% more likely to have Type 2 diabetes than those who eat breakfast regularly(May 24, 2012). . A study in the Environmental Health Journal found that â€Å"children who ate breakfast had 15% lower blood lead levels than those who skipped breakfast(April 1,2011)†.(mrbreakfast.com)Nowadays, the number of diabetics is in rise gradually. Many of us skip breakfast for saving time or more sleep. However, it seems we need to be conscious of the necessity of eating breakfast. It is decisive to our health condition. Overall, daily breakfast keep us on track if we are trying to manage weight, making us attentive at work, avoiding blood-sugar problems, and supplying nutritious to our body. In the other hand, regular breakfast makes us vigorous from the beginning of everyday. Reference Page Breakfast: How does it help weight control? (2011 July). Retrieved Dec 3,2012 http://www.mayoclinic.com/health/food-and-nutrition/AN01119 Breakfast Research & Statistics.(n.d.)Retrieved Dec 3,2012 http://www.mrbreakfast.com/glossary_term.asp?glossaryID=152 Mdhil, (2012 June), 8 Health Reasons You Should Never Skip Breakfast. Retrieved Dec 3,2012. http://in.lifestyle.yahoo.com/8-health-reasons-never-skip-breakfast-033028953.html Shereen Jegtvig, (2012 November), Don’t Skip Breakfast. Retrieved Dec 3,2012. http://nutrition.about.com/od/nutrition101/a/breakfast.htm Skipping breakfast very bad for health.(2003 July)Retrieved Dec 3,2012 http://www.medicalnewstoday.com/releases/4004.php

Essay on Invasion of Privacy - 975 Words

Invasion of Privacy and Libel Case Study Invasion of Privacy and Libel Case Study Invasion of privacy is something that is a major concern among Americans. In this paper I will discuss Steve, who has recently joined a church. The church doctrine is such that members are to reveal indiscretions from their past. Steve has told them of some of his indiscretions but Steve is not happy about this and decides he would rather leave the church. The church leaders have told Steve even if he leaves his neighbors as well as members of the church will be notified of his past. In this paper I will discuss which privacy torts are involved as well as if this is a libel case. I will also discuss whether the expectation of privacy applies to†¦show more content†¦It would be easier to pursue actions if what Steve disclosed something such as armed robbery or any number of felonies in which case the church may feel the need to notify the police. Had he told them of his pension to jay walking it would not hold as much weight if any. It should be noted that in this c ase should not be considered intentional intrusion invasion of privacy. The reasoning for this would be that when we discuss this tort it should be noted that this involves delving into an individual’s private life or thoughts and being unauthorized. If however the church had gotten ahold of Steve’s information from listening in on his conversations with members of the church. It should also be noted that tort of appropriation is not a factor as well. The explanation for this is that the individual involved did not consent to his/her use of their picture or likeness or even their name for any type of personal gain. According to the definition of expectation of privacy which is you expect privacy as society agreeing with you, Steve would not really be entitled as a result of the church not saying in words that privacy would be given. 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