Assignment 2: Business Problem or Challenge IT-3225 Bus Goals I.T. Professional Capella University Professor Kuhlman October 27, 2022
Table of Contents I.T. Solution Proposal…………………………………………………………………..3 Stakeholders…………………………………………………………………………..4 Business Requirements………………………………………………………………5 References.…………………………………...……………………………………... 6
IT Solution Proposal The American healthcare system is divided into several healthcare segments. Examples of these segments include equipment manufacturers, pharmaceuticals, insurers, providers, care delivery or hospital and medical centers, data and informatics, and supply chain. This paper will concentrate on three specific segments: insurers, data and informatics, and pharmaceuticals. Equipment manufacturers produce everything from large complex MRI machines to everyday products such as stethoscopes and blood pressure cuffs. The healthcare ecosystem has thousands of manufacturers that support the provision of care delivery. Another segment is pharmaceutical manufacturers and wholesalers. For instance, many organizations cannot buy directly from the manufacturer due to their size and purchasing volumes. Pharmaceutical companies rarely sell directly to only but the largest of healthcare entities, for instance, Keiser Permanente, California's largest wholly integrated healthcare delivery organization. The last large healthcare segment is the Insurers. Insurers negotiate healthcare prices from healthcare delivery organizations, such as Baptist Health, in every market in the United States. In all but a few tiny states, there are several healthcare markets within each state. Insurers sell their product, which is, in effect, their negotiated healthcare rate and billing processes, to employers, individuals, and through Federal government programs such as Medicare Advantage. Again, the United States healthcare system is very complex, with many moving parts and dynamics intended to reduce the overall cost of services and products and make the U.S. healthcare system accessible to everyone.
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