John Q the Movie the Questionnaire
John Q the movie questionnaires
• Read an article about <=”” cite=””>in defense of managed care in the May 2002 issue of Managed Care that is available at managedcaremag.com:http://www.managedcaremag.com/archives/0205/0205.johnq.html.
- If your son had severe, life-threatening cardiomyopathy, as in this story, and your options were to a) let him die while having some “quality time” or b) get him a heart transplant, which would you choose?
- Does your (or your parents) insurance cover a heart transplant? You will need to look at the plans’ benefits and rules. You may need to consult with a health plan representative. Write down the name of your insurance, what kind of insurance it is (HMO, PPO, POS, etc.), whether it specifically covers heart transplants, how high the maximum single payout is, and how high your lifetime benefits are. Write down how you found out these things. IF YOU DO NOT HAVE INSURANCE, research an insurance program for a friend/family member, or find one on-line to research and report on.
- Give your opinion of the Managed Care article’s points raised in questions 3 and 4 above.
- What is a “cash account?”
- Given what you have learned about member services in this course, comment on the fact that John Q did not know about his policy switch from a PPO to an HMO. Was this John Q’s problem, an employer problem or a health plan problem? What should be done to improve this situation?
- In the ER, the hostages, hospital employees and doctors discuss John Q’s problem. They suggest that HMOs create incentives that might lead to a physician missing a problem when it could have been caught and treated. List four incentives common to HMO provider reimbursement or provider relations that might do this, and explain why each of the incentives you list could do this.
- Policy Opinion Question (no right or wrong answer). Should the working poor, such as John Q, be denied certain treatments available to those with better jobs and better health care or those “on welfare?”