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Assignment: Ethical Factors for HMO

You are the HMO Vice President of Operations for NuCare HMO. The HMO President tells you that the board is considering discontinuing Medicare affiliation. The board wants to know how this will impact their membership in rural areas where there is no other HMO that is affiliated with Medicare.

The president directs you to create a five- to six-slide PowerPoint presentation to present to the Board of Directors.  The presentation should briefly outline what the likely outcome would be for rural membership if the HMO stops attending to Medicare patients. Include the following considerations in your presentation:

 

  • The difficulty members may face in finding new care options
  • The concerns that may need to be addressed for members seeking new care options
  • Whether members will be able to acquire Medicare gap insurance
  • Make a final recommendation as to whether NuCare should discontinue its Medicare affliation.

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