Entrepreneurship strategy case study. Management Case Study

ENTREPRENEURSHIP STRATEGY CASE STUDY
Name:
Instructor:
Institution:
Date:
ENTREPRENEURSHIP STRATEGY CASE STUDY
Q1. Jim Dougherty’s online physician enrollment system (Madaket) aims to remove administrative burdens of enrollment as well as re-enrollment. This system will allow other providers involved in other state-financed systems to submit enrollments or re-enrollments applications via one centralized portal to realize its mission of making healthcare IT simple, fast and secure. The applications shall then be routed to credentialing organizations and agencies suitable to finish system-specific enrollments.
The key areas they need to build fall under functionalities and process enhancements that would be associated with Madaket. The credentialing organizations and agencies needs to solicit feedback from other providers on these functionalities and process enhancements that will be associated with Madaket. The provider associations should distribute surveys among its members to gather demographic information.
The first key area is practices. Practices should consider time taken to establish contracts with payers in addition to time taken to connect their organizations to the payers and enroll providers.
Another key area is standardization. Enrollment systems lack standardization which makes enrollment a long was well as painful process. Some systems take longer (60-90 days) to process enrollments. The effective dates are different since some organizations utilize the paper work dates whereas others use the dates the paperwork was received.
The team and the organization should consider accuracy. Madaket electronic enrollment has the ability to report the enrollees’ eligibility status instantly as well as accurately. It can integrate health plan rules, track dates and cover waivers to assist plans. This is because the employers cover eligible employees only and remove those not eligible. It will enable the employers, the health plans and the physicians get notifications immediately following employee resignations and terminations with no emails.
Also, Makadet should assist lower administrative time needed by employers and health plans to discuss benefit alternatives to employees. Makadet as an advanced decision-making tool will help the employees with plan coverage and restrictions, providers in the network as well as associated issues. Reduced number of calls that the members and the administration employees make to carriers will enhance general productivity. In addition, a common misstate Madaket will solve is lack of enough time for every enrollment which causes practices to incur payer backlogs or have open positions not filled in time. Madaket will consider time every enrollment will take as it shall establish a system to track payers, provider data as well as contracts.
The frequency of updates should be considered. Updated enrollment details save physicians time, trouble and finances. Significantly by lowering the time among an employees’ disenrollment and the knowing of that information by the physician’s office, time is saved. This feature saves physician’s time from attempting to collect payments from ineligible employees and make available fast, efficient inform...