Issue Brief Affiliation: The Issue The issue in contention in the organization is about the health premium rates being paid by the employees which are not equal to the services they have been receiving. The organization’s health care policy requires payment of premiums according to not only what the employee is earning but also according to the number of beneficiaries of the health care policy. This however has not been the case when it comes to claiming of the health insurance. Those who pay low premiums and have many beneficiaries or dependents of the insurance have been frustrated by the services being offered to them. The planning of the program has been totally different from its implementation and execution and this has raised the big issue with the management which is the concerned party in this case (Heath and Palenchar, 2008).
Employees in the low premiums have had their family members turned away from getting certain treatment plans and medical coverage of certain services even though the strategic health care plan was indicated to include these services. Beneficiaries are forced to pay for these health services out of their pockets even though it has already been deducted in the premium rates paid monthly to the organization.
This issue does not however seem to affect the employees who pay high premium rates no matter the size of their beneficiaries and hence raising more questions than answers about implementation of the plan. Background The organization’s legislation and the one which stipulates about the health care coverage and the premium rates to be paid promise the employees the best of the health care services. This legislation is part of the employment contract and hence as one of the employments benefits which attracts the employees to sign them quickly.
The stakeholders of this health care issue include the management of the organization in conjunction with a few heath care facilities where the employees and their beneficiaries are supposed to seek the treatment. What however is not indicated is the fact that there is discrimination when it comes to implementation of the legislation. This however is only discovered once a beneficiary moves in for treatment in one of the health care facilities that is a stakeholder and some services denied to them unless they pay from their pockets.
The debate the employees are raising and especially those who pay lower premium rates is on why there is discrimination which is not in any way stipulated by the management during the hiring process. The issue at hand is not only discriminating in its implementation but has also started separating the employees in the organization while forcing others to seek new health insurance plan outside of what the organization is offering.
Others are being forced to seek other employments with real health insurance benefits. The management should therefore consider addressing the implementation of this issue and do so quickly before it negatively affects their organization in terms of image and productivity. All the employees seek is full implementation of the health issue in discussion as stipulate in the strategic planning through change of stakeholders who are running the implementation part of the strategic health plan. The debate This issue in discussion is similar to that of the family glitch problem with the Affordable Care Act in the US where the low income families are locked out of treatment facilities and accessing some of the treatment services.
This is brought about by their lack of affordability of the cost of health services based on their low income (Avik, 2011). The solution being proposed in the above mentioned health care policy does not lie with increasing of the income in this families but rather having an all rounded inclusivity without any discrimination. This is almost similar to what the issue mentioned above is seeking only that they want the management to handle the implementation part of the plan the same way they handle the strategic planning. The implementation according to Minkler, (2007) will mean engaging in fresh negotiations with the health care facilities stakeholders on how best to include the low paying premium rate employees and their large families without either party being negatively affected.
The best way to handle the situation is to ensure that the affiliated group of employees are well represented in the managerial meeting with the stakeholders in order to not only personally air the issue but present their suggestions and recommendations.
This will go a long way into convincing the health care owners and representative of the need to make changes in their implementation. If no solution is forthcoming in the discussion between management and those stakeholders, then a different course of action should be considered but one in which the ultimate solution will involve a change in the strategic implementation of the health issue (Hill and Hupe, 2012). The managers may be forced to move back to the strategic planning stage and modify some of the clauses to give room for inclusivity as well as provide an upper hand in the implementation stage.
The other solution is to seek other health care stakeholders that will not discriminate on the employees paying lower premiums and they have large families and beneficiaries. What’s next? The management is expected to enter into the discussions and negotiations with the health care facilities as quickly as possible in order to start the change in the implementation and execution part of the plan in as far as the affiliated groups of employees which make up majority of the employees are concerned.
Time is of the essence in this case because the negative repercussion to the management and the whole organization in general in terms of productivity which seems to be in jeopardy. The employees need to see changes being made in the implementation of the issue or at least changes happening in the health care facilities once their many beneficiaries go to seek treatment. Brody, R. (2005) explains that the management needs to borrow a few pointers about how to deal with the implementation of the problem from other policy makers in the health sector who have had to handle challenges of a similar nature when it comes to the implementation of the policy.
References Avik, R. (2011, August 10th). Obama Bombshell: 4 Million People Who Thought They Were Gaining Coverage, Wont. Forbes. Retrieved from: http: //www. forbes. com/sites/theapothecary/2011/08/10/obamacare-bombshell-did-the- government-underestimate-the-costs-of-ppacas-exchanges-by-hundreds-of-billions/ Brody, R. (2005). Effectively Managing Human Service Organizations. London: SAGE Publications. Heath, R. and Palenchar, M. (2008). Strategic Issues Management: Organizations and Public Policy Challenges. London: SAGE Publications. Hill, M.
and Hupe, P. (2012). Implementing Public Policy: An Introduction to the Study of Operational Governance. New York: SAGE. Minkler, M. (2007). Community Organizing and Community Building for Health. New York: Rutgers University Press.