NUR 4667 Virginia University Lynchburg Globalization of Nursing Discussion Response

NUR 4667 Virginia University Lynchburg Globalization of Nursing Discussion Response

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DP#1 – Demario Walls

by Demario Walls – Thursday, 8 April 2021, 11:05 PM

Two of the limitations of Pitney Bowes’ approach to employee health are cost associated with healthcare and compliance. In the 90’s, Pitney Bowes pushed for enrollment in self-insured offerings to expand the risk pool which passed the rising cost of healthcare to employees. Every year, costs associated with healthcare including premiums and deductibles have been on the rise making healthcare expensive to those living near or below the poverty line. Pitney Bowes is also limited by federal regulation on using incentives to differentiate employee’s premiums and was already at the limit for allowable credits. Porter and Baron (2009) state that eligible workers choosing not to enroll often did so for financial reasons. Pitney Bowes’ on-site clinics and programs also targeted employees at corporate or headquarters and not necessarily the warehouses where lower income employees worked.

Porter, M. E., & Baron, J. F. (2009). Pitney Bowes: Employer health strategy. Porter, M. E., & Baron, J. F. (2009). Pitney Bowes: Employer health strategy.

Discussion Post #2. Recommendations

by Leonard Lindenmuth – Friday, 9 April 2021, 8:35 PM

The recommendations that I would make to Michael Critelli would be to move all of the employees into a self funded product offering.  I would create a product design around their current success with co-pays, deductibles and network design.

There is significant success ,while not perfection, in their current approach to managing and offering employee health benefits. Pitney Bowe’s approach in 2008 is likely still leading edge in 2021.

There is essentially 3 operational moving parts to insurance after Product/Benefit and Network design. These three are Pharmacy Benefit Management, (PBM), Stop Loss or Reinsurance and selection of the Third Party Administrator.

I would recommend an aggressive approach the purchasing of the Pharmacy Benefit Management piece.   With this. size group of covered lives, I would recommend considering creation of a  Captive Stop Loss insurance entity. This would allow them to essentially reduce the retention of the Stop Loss vendor and capture within the Pitney Bowes Fund itself,

Moving to a complete Self Funded approach, I would send a Request for Proposal to ASO companies, Insurers, and Third Party Administrators to process claims.  Part of this would be to assess who has the greatest discounts and relationships with providers and who has the best geographic coverage.  An outside network ‘wrap-around’ vendor can fill in the network holes, if any exist.

Discussion Post # 1: What is your key take-away from the reading of this week on Technology Strategy?  Key take-aways: M. Birden

by Michael Birden – Sunday, 4 April 2021, 4:56 PM

One key takeaway is added value. “know thyself.” What will you bring to the game?  What is your added value? Every company wants to think that their added value is significant.  What company considers itself not important. There have been several companies that believe they had a lot of added value. Companies such as Circuit City, Compact, Toys R Us, and Lehman Brothers, to name a few. Too many other companies offered the same thing. I do not think any of these companies knew their added value because none was difficult to replace.

My second takeaway is strategy. I do not think many companies have a clear strategy on how to distinguish themselves from the competition. As leaders, we must be able to provide ideas on how to improve the company’s strategy. The only way to do this is by innovation. You must offer things in different ways or create a new combination.  According to Michael Porter (1999), strategy is not just about being better at what you do; it is about being different at what you do.


Casadesus-Masanell, R. (2015). Competitive and cooperative dynamics. Harvard Business School.

Porter, M. (1999).  Creating advantage.  Executive Excellence. 1-2.


by Durelle Wright-Simons – Thursday, 1 April 2021, 4:11 PM

A successful company thinks in terms of having a combination of both competitive and cooperative interaction. A company cannot think they have and can do it all as this is impossible. However, they need to be strategic and analyze their competitors to be aware of their strategic plans and how they are achieving them. Defining actions the other companies are doing requires analyzing other business models against the company’s own model (Casadesus-Masanell, 2015). While analyzing their own agency, they can compare to see if they are after the same market, have an advantage, or need to change course to be more competitive. Suppose you are only looking at it from one side. There is a risk of not completing an analysis that will provide the most accurate results to benefit the company overall.

Casadesus-Masanell, R. (30 June, 2015). Competitive and Cooperative Dynamics. Harvard Business School.

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