01- Fixed price contracts (Lump sum):
In this method , the payment is not depend on time expanded or resources used. the contractor will be paid a fixed price. It is usually a competitive tendering process.
Fixed price contract is opposed to a cost-plus contract, which is projected to cover the prices with extra profit made.
The contractor will not receive an extra payment for accomplishing higher quality standards. The contractor shall bear all the costs of providing the service or item mentioned in the contract
This means that only the contractor who is affected by the losses, which also will get the profits, if there is any profit in the project.
The client must be satisfied by the contractor on site in all cases. in this project , the
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There are some special forms of cost reimbursement contract like:
- (CPC) capped price contract. It is similar to cost reimbursement contracts in that a daily fee, that includes also a profit component, is agreed for a certain number of capped days.
- (UTC) unit price contracts: the buyer will ask the suplieres to submit offers specifying a separate unit price for each input factor. in addition, the buyer announces an estimate of the quantity of the input factors needed to complete the project.
03- Incentive contracts:
This method has two types as its are used when the project is complex and used in the US for defense
Make it clear when you are letting your client know how much you want to receive. For example it cost ‘$X’ per ‘Y’ hours. This will allow the client to consider if you’re doing the project or not. Once the client has approved you doing this project and wants to
In typical bundled payment models, providers and payers share in savings and/or losses. When actual health care costs fall below the lump-sum payment, both parties keep a portion of the difference as additional profit. Conversely, the provider must provide extra services at a loss when health care costs exceed the lump-sum payment, though payers mitigate some of this loss. The potential for savings for payers lies in upfront discounted payments for episodes of care, as well
Thank you for sharing your thought on case 14, the Tuition Reimbursement Program. It is sad that leaders are resorting to disapprove a program that would help subordinate to improve on their career progression. I agree with you on the deontological ethics principle that it is morally and professionally right and leaders are obligated to approve the reimbursement of courses taken if it job related. The military has tuition reimbursement policy or regulation that pays up to 100% of Soldier’s tuition to attain Associate, Bachelor or Master Degree level of education.
An estimated 50 million Americans are relied upon to pick up medical coverage through the Affordable Care Act (ACA), and a sound and sizable workforce will be expected to take care of the expanded demand. The medicinal services workforce is as of now confronting a basic deficiency of healthcare experts throughout the following decade. The ACA breaks the guarantees of access and nature of administer to all Americans by raising the lack and expanding the weight and weight on the officially delicate framework. The ACA's endeavors to address the deficiency are doubtful and constrained in degree, and the noteworthy monetary venture won't create results for quite a long time because of the preparation pipeline. With the ACA's evaluated 190 million
Patient Protection and Affordable Care Act, or ‘Obamacare’ was the expansion of Medicaid program across the states. Charles Barrilleaux and Carlisle Rainey look at why state government have opted out of the Medicaid expansion. They find that Obama’s 2012 vote share and the governor’s partisanship better explains the disapproval to Medicaid expansion, rather than measures of need, such as life expectancy or the number of people that are uninsured. Charles Barrilleaux and Carlisle Rainey find that a Republican governor is a higher percentage point more likely to oppose the expansion than Democratic governors. Whereas, the results show that the percentage uninsured in the state to have a small positive effect on the probability of opposition.
The affordable care act presented the United States with the most extensive overhaul since the passage of Medicare and Medicaid in the 1960’s. The act was a response to staggering statistics on the price of healthcare and the resulting uninsured rate within the United States. The affordable care act uses Individual Mandate and Health Insurance Exchanges to combat major factors causing high insurance cost and low insured rates. As with most reform, the public has not been one hundred percent unified on the potential effectiveness of the Affordable Care Act.
1. Consider key elements of ACA provided on p. 11 in the textbook. Pick any two and discuss. Whether a particular element of ACA has been already successfully implemented? What are the pros and cons of this element?
Under the Balanced Budget Act (BBA), the Health Care Financing Administration (HCFA) put into effect a nationwide Prospective Payment System (PPS) within Skilled Nursing Facilities to reimburse inpatient service costs for beneficiaries covered under Medicare Part A as of July 1,1998 (Skilled Nursing facility PPS, 2013). Generally, Medicare Part A covers beneficiaries within the following inpatient settings: SNFs, hospitals, nursing homes, hospice, and home health services (What Part A Covers, n.d.). Medicare Part A uses a Prospective Payment System at a per diem rate. In other words, Medicare Part A pays SNFs pre-determined daily rates for patient care, meaning they are dictating the daily allowance of expenses used for services (Skilled Nursing
The Affordable Health Care Act was signed into effect on March 23, 2010 signed by Barack Obama. The Affordable Healthcare Act is to make sure that everyone has medical insurance either from your job or just your family insurance then you are safe from getting fined. Although if you don’t have medical insurance and you get caught you get a fine. This fine can range anywhere from 1 to 2 percent at your yearly household income in 2015 if you don’t have coverage, you’ll pay the higher amount of 2% of your yearly household income and the maximum penalty is the national average premium for a bronze plan. The 2% only takes affect if the amount of income is above the tax filing threshold, which is about $10,150 for an individual.