Article or Case Law Search Essay

What is case law? Case law are decisions that has been instituted by a judicial determination and some are placed into action by the body of legislators. Several case law events deals with the critical regulatory healthcare issues. This paper will inform the reader of how the issues relates to the nature, sources, and functions of the law. Issues related to the nature, sources, and functions â€Å"The Affordable Care Act was passed by Congress and then signed into law by the President on March 23; 2010. On June 28, 2012 the Supreme Court rendered a final decision to uphold the health care law†. (Healthcare.gov, 2012) The Affordable Healthcare Act affords new means to hold insurance companies responsible and offers strong selections for customers. The Medical Loss Ratio (MLR) is known as a percentage that healthcare insurers must meet or better known as the MLR requirement. Healthcare insurers are required by the Affordable Care Act to produce a reimbursement to its consumers. The Medical Loss Ratio financial measurement used in the Affordable Care Act to help ensure that health plans provide significant value to users. The following is an example of how insurers use the MLR â€Å"if an insurer uses 80 cents out of every premium dollar to pay its customers’ medical claims and activities that improve the quality of care; the company has a medical loss ratio of 80%. A medical loss ratio of 80% indicates that the insurer is using the remaining 20 cents of each premium dollar to pay overhead expenses, such as marketing, profits, salaries, administrative costs, and agent commissions. The Affordable Care Act sets minimum medical loss ratios for different markets, as do some state laws.† (Healthcare.gov, 2012) The Affordable Care Act Law forces payer insurance policies for persons or groups to devote at least 80% of payments of medical care  directly paid on behalf of the patient, that are meant to improve their quality of care. Payers marketing to big groups are required to spend 85% of those payments made for care and quality enhancement. The Affordable Care Act rule will not apply to companies that function as self-insured plans. Payer companies are required to report each year to the Human Services department regarding payments spent on quality improvement and health care services and any rebates applied to consumer accounts. The first re port, was in 2011, and the newest in June of 2012. Payers are obligated to make the first of rebates to consumers in August of 2012. (Healthcare.gov, 2012) This Act has good and bad ramifications. First the Act which is source law from the legislator, which not only creates new rules of law it also sweeps away existing inconvenient rules. The act has potential for ensuring that quality of care continues to improve, however companies that do not meet these standards are required to give a premium rebate to the consumer. What the law doesn’t say is how much of a rebate is required to give. The 20% is for overhead and quality improvements. The overhead of the company could be more than 20% therefore the consumer is left with no rebate. That rebate really only works out to be very small 10-15 dollars per consumer. Companies like large insurance payers spend 10 times those figures on quality improvements. I have worked in Healthcare for several years and in early 2005 legislation went through that required all Healthcare organizations adopt some sort of meaningful use Electronic Health Record by 2014. This is a massive under taking for most healthcare institutions and the government was only offering up to $40,000 per healthcare organization to assist with this implementation. For a lot of smaller provider organizations this was a good deal, however the larger insurance companies and healthcare organizations would be spending millions on Electronic Health Records. According to the Centers for Medicaid and Medicare (CMS) only about 25% of healthcare organizations as of 2011 are up and running on a meaningful use EHR. (Centers for Medicare and Medicaid Services, 2012) These improvements the healthcare organizations are making with regards to EHRs are far surpassing the required 20% a year even if you break it down each year. â€Å"October 1, 2013, medical coding in U.S. health care will be modified from ICD-9 to version 10. All healthcare related systems that is protected by the Health Insurance Portability and  Accountability Act (HIPAA) are required to make the transition, not just those healthcare institutions that submit Federal Medicare or State Medicaid claims.† (Centers for Medicare and Medicaid Services, 2012) This is yet another quality improvement mandated by the source law of the Legislator that will cost healthcare organizations millions to implement. Conclusion Do the current process improvements that are currently mandated for all healthcare organizations count toward the 20% of profits made from premiums and services or do healthcare organizations still need to utilize the 20% for quality improvements on top of the already mandated improvements that the government requires to implement in the next few years? Healthcare all over the world often sometimes face many obstacles which includes different law cases. This paper has informed the reader of how the issues related to the nature, sources, and functions of the law. Reference Centers for Medicare and Medicaid Services. (2012) Retrieved from http://www.cms.gov Healthcare.gov. (2012). Retrieved from http://www.healthcare.gov/index.html

Jaguar Land Rover Essay

Jaguar and Land Rover are two of the world’s most iconic luxury brands. Every day they’re reaching more customers, and their network of well over 2,000 dealerships continues to expand around the world. As their global marketplace extends further, they need to provide more customers than ever before with an unrivalled experience. Their fast paced environment is one where you can swim free in a pool full of sharks. You’ll be instrumental in protecting their heritage and unique brand values, but also making sure that their brands continue to grow, develop and seize attention worldwide. The Jaguar Cars and Land Rover businesses were first united under a single entity by Ford Motor Company in 2002. In 2006 Ford purchased the Rover brand name and logos from BMW for around  £6 million. This reunited the Rover and Land Rover brands for the first time since the Rover group was broken up by BMW in 2000 Their advertisement skills are very top notch. They show their vehicle in a tough environment to show the pure strength of the vehicle and show that it is capable of any task. They make the Jaguar Land Rover seem fast and dynamic with certain shots to persuade the viewer to buy such a beautiful vehicle. Jaguar Land rover is owned by Dr Ralf Speth. He is the chief director of the company. Sales – In the year ended 31 March 2011, Jaguar Land Rover sold a total of 240,905 units, of which 189,087 were Land Rovers and 51,818 were Jaguars. In that period 24.1% of sales were in the United Kingdom, 22% in Europe (excluding the United Kingdom and Russia), 20.9% in North America, 12% in China, 4.9% in Russia and 15.9% in the rest of the world. In the year ended 31 March 2012, Jaguar Land Rover sold a total of 305,859 units, of which 251,632 were Land Rovers and 54,227 were Jaguar In that period 22% of sales were in Europe (excluding the United Kingdom and Russia), 19.6% in the United Kingdom, 19.0% in North America, 16.7% in China, 4.2% in Asia Pacific (excluding China) and 19.0% in the rest of the  world

Of Mice And Men Characters Essay

In ‘Of Mice And Men,’ all the characters have different problems, whether they are physical, mental or personal. Although the two characters who I feel have the most problems are Crooks and George. Crooks, the black stable buck is forever being pick on by the other men at the ranch, mostly because of his colour. In the time in which the book was set, black people in America were thought of as lower than white people. At the ranch, Crooks cannot live in the bunk-house with all the other men, but he has to sleep in the harness room, at the back of the barn. In this room he is surrounded by all the unused horse tack, and therefore has hardly any space for his personal belongings. Crooks is given no privacy, and gets quite cross because he is not allowed to enter the bunk-house but the other men can just walk into his room. In the book he says to Lennie, â€Å"You’ve no right to come into my room, nobody got any right in here but me.† After he has talked to Lennie for a while, he starts to enjoy having someone to talk to, because when he is in his room by himself, there is no one he can talk with. I think that he likes talking to Lennie because he realized that Lennie is slow, so Crooks can say what he wants and Lennie will not remember anything. To get the other men back for teasing him, he becomes very sour when they enter his room, and as he passes the other men he ignores them, as a pay back for the names they call him. Although I do feel that Crooks gets extremely lonely. All day long he is on his own, he cannot work because he has a crooked back, from once being kicked by a horse, so he has to stay behind at the ranch and generally look after the place. When he was abused by Curley, he cannot answer back, because Curley is the Boss’ son, and he knows that if he gets fired, he will probably not get another job because of his disability. The other man who I think has a lot of problems is George. He has to take Lennie with him everywhere, although, Lennie often gets into trouble and this gets George into trouble too. Without Lennie around him George could have such a good life, â€Å"God almighty, if I was alone I could live so easy. I could get a job and work, an’ no trouble. No mess at all, and when the end of the month come, I could take my fifty bucks and go into town and get whatever I want.† This shows that without Lennie with him, causing trouble, he could keep a good job, and spend his time in the way he wants to, without having to think about anyone else. Although I do think that George likes Lennie, as he is always there to talk to and to share dreams with, they are obviously very close, but George does get annoyed with him, especially because Lennie finds it hard to remember things, such as where they are traveling to. Although he does seem to remember every bad word George says about him. When George talks of the ‘little place’ they’re going to get, his face lights up and he really enjoys seeing Lennie happy and even though George is stuck with Lennie, he still likes having him there. When George is talking to Slim, in the book, he tries to cover up for Lennie’s mistakes in Weed, as he knows that Lennie would never hurt anyone on purpose. At the end of the book when George shoots Lennie he knew that he had to kill him. I think that partly the reason for this is because George knows that Lennie will be shot any way, but if he did it, it would be out of love and protection, and not revenge and hatred. George also knows that he cannot go on with Lennie, always running away from some kind of trouble that Lennie has caused, and the incident at the ranch was probably the last straw. Out of the two men described, I think that the person with the most problems is George. In the first part of the book, he always had Lennie with him, making things very difficult for him to have any privacy or time for himself. Lennie prevented him from ever keeping a job, and this often got him into trouble. At the end of the book, when George shot Lennie, he felt awful, because he was killing his best, and probably only friend. George would always live with the memory of Lennie, and the memory of how he shot him. All throughout the book George was telling Lennie that the other guys on these ranches move from place to place, having nobody. Now George would be like these other guys, but before he and Lennie. I think that George has more problems than Crooks, because in America in those times, all black people were treated lower than whites. Crooks cannot help this problem, because wherever he goes, he would receive the same kind of abuse. Another disadvantage Crooks has, is his crooked back, but again, he cannot help this so he did not create the problem. I feel very sorry for George, as he and Lennie have been through so much together, at some times, he wished that he never had to stay with Lennie, but now everything it over for him and he wants Lennie back.

Assignment Essay Example | Topics and Well Written Essays - 1250 words - 13

Assignment - Essay Example The source of light that is probably an electric bulb is coming from above the room. The picture has a foreground, middle ground, and a background. On the foreground, we can see the white frog sitting on its twos. The frog rests on the brown wooden floor. Moreover, I can see the shadow of the image. On the background, we see the image of a young woman standing on the brown wooden floor and leaning on the purple wall. We can also see the shadow of the image. The circular intersection line of the wall and the floor is visible on the background. The white veil is on the middle ground where it connects the foreground and the background. In my opinion, I feel the picture reflects a good piece of art where it has a good color mix and contrast, which is comfortable to the eyes of the audience. Indeed, the images and the wall have bright colors while the floor has a dull color. This photo shows the image of a person sitting on a chair. The person is seemingly a man. The image is resting on a white surface. However, the man sitting on the chair is seemingly bigger than the chair. The body material of the image is silver in color and represents the value of the image. We can also see a man standing on the background of the picture. The man is probably an artist who is making more pieces of art. There is a source of light in the picture as the shadows of the image and the man standing on the background are visible. The light is coming from above the room and this may represent the presence of an electric bulb in the room. We can see a brown cemented floor and a white cemented wall. The man in the picture is doing something on a black table. The represented in this picture depicts a museum. This picture has a foreground and a background. In the foreground, we can see the image and the white surface where the image rests. I can also see the shadow of the image. In my opinion, this picture represents a great piece of art. The use of the silver color

Critically analyse the International Olympic Committee, politicaly and Essay

Critically analyse the International Olympic Committee, politicaly and memebers' corruptions - Essay Example The escalation in the price of broadcasting rights for sport is the single largest factor affecting the global sport business. Therefore, the demand of sponsor and mass media has been changed due to the globalisation of the sport market. Both of them need bring some direct and indirect efforts to all audience. The sponsors want to show their brand on advertising and compete against other companies in the global market.( Cooke, 1994) The motive of the broadcast companies is sell advertising slots at hugely increase prices in the globalisation market during the matches. British sporting bodies, having previously jealously guarded their non-governmental status, lobbied the government for a ministry of sport to spearhead a drive for British international sporting success. In the event, the governments sports strategy, published as A Sporting Future For All in April 2000, failed to go this far, even if there were references to a new deal between government and sports governing bodies, the need to enhance the prospects for more success for our top competitors and teams in international competition and the urgent need to learn the lessons of our competitor nations: Government cannot and should not dictate. Moreover, the episode, viewed in conjunction with the fiasco regarding the rebuilding of Wembley as a national football stadium, was adjudged to have seriously damaged British prospects of bidding successfully for the 2012 Olympics or the 2014 World Cup. The Blair government appeared guilty of reneging on both election manifesto and ministerial promises as well as of displaying a distinct lack of feel for the politics of international sport. Certainly, the apparent gap between government rhetoric and events suggested a distinct lack of joined up government, both within government as well as between it and sporting bodies. (Trenberth, 2003) As one editorial observed, unless the Government matches its rhetoric with

The concerns will be with regard to population in the Research Paper

The concerns will be with regard to population in the - Research Paper Example According to the pilot issue of Horizon: Future Issues for Development, in an article entitled â€Å"Population Growth, Environment and Food Security: What Does the Future Hold?,† human population growth is â€Å"the most significant cause† of many of the problems that the world faces like climate change, poverty and scarcity of food resources. By around 2050, the growth of the world’s population will be by 2.7 billion thus resulting in an estimated total of 9 billion people by that time (Collodi & McCormack, 2009). This significant increase in the human population will definitely outrun the supply of natural resources and will definitely force man to exploit the natural environment for the sake of survival. In the table below from the United Nations Population Fund, one can see that the projected population of the world by 2050 is either 7 billion still, or 10.5 billion as the upper limit, or ideally at 9 billion. One of the problems caused by overpopulation that will most likely affect the world on a global scale is environmental degradation. The overwhelming growth in population is expected to lead to unsustainable demands on the environment as well as natural resources. There is also a consequent production of hazardous waste and an intensified level of urbanization, both of which are expected to contribute to the degradation of the environment. There is also climate change due to the increase in the amount of greenhouse gas emissions by around 52% by 2050. Aside from this, water is expected to be scarce, and that 90% of freshwater supply will be gone even by 2030. Moreover, there is also an expected doubling of the demands for energy all over the world even 20 years from now. There is also a considerable loss of biodiversity, destruction of many ecosystems, and renewable environmental resources because of excessive draining of wetlands, clearing of forests and expansion of infrastructure (Collodi & McCormack, 2009). Another global problem

The European Emissions Trading Scheme - A Critical Appraisal Essay

The European Emissions Trading Scheme - A Critical Appraisal - Essay Example The scheme also featured a ‘flexible’ arrangement where Member States created their own National Allocation Plans. Further on, the report looks into the aspects of the Emissions Trading Scheme in a comparative manner that is, the intention at the beginning, actualization stages and the present state. The main aspects include its boundary where at first the scheme focused on power generating companies and those that use energy-intensive operations that is, metal producing companies and oil refineries. The other aspect is extension where the EU Emissions Trading Scheme has formed links with other schemes through emissions-saving projects through two key mechanisms. Third world countries that have a compulsory cap-and-trade system and they have ratified the Kyoto Protocol have also formed links with the EU scheme. This has seen the carbon market expand to a global reach. Finally, there is the calculation aspect that presents three different models for calculating carbon dio xide emissions. Lastly, a breakdown of the issues has come into play since the inception of the EU Emissions Trading Scheme. ... Introduction Having no prior experience with cap and trade as well as the need to develop knowledge along with architecture for the program, the European Union set out to begin with only carbon dioxide and a restricted number of sectors. This is following the established Kyoto Protocol that was created with the aim of averting hazardous human-induced interference to the climate system. As soon as the infrastructure was in place, additional greenhouse gases and sectors could be included in successive phases of the program. This would come into effect depending on any further emissions that needed to be reduced. Over time, a carbon price that is widely accepted in Europe was instituted, businesses embarked on including the price in their decision-making and the market infrastructure for a multi-national trading system came into existence (Ellerman, Perthuis and Convery 2010,p.2). The principal design of the EU Emissions Trading Scheme follows that all manufacturing sectors that are par ticularly energy-intensive and electricity generators are obligated to get a permit from regulators for every tone of carbon dioxide that they release. The first phase of the Scheme, taking place from 2005 to 2007, saw the permits being issued free based on companies’ historical emission levels. The second phase, taking place from 2008 to 2012, saw generators of electricity having to purchase some of their permits from auctions organized by the government; while, industrial companies continue to get their permits for free subject to some tightening of targets in acknowledgement of the risk of hurting their competitiveness. The third phase, taking place from 2013 to 2020, will see all permits being auctioned with the exception of particular manufacturing sectors that