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Managed care

Assignment 2: Dropbox Assignment

Current Trends and Issues in Managed Care

Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn’t have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence.

This week, you are required to write an essay on the following topics:

  • Managed care hospital reimbursement
  • Managed care provider reimbursement

Using South University Online library (e.g. CINAHL) or the Internet, review at least two articles for each topic and write a review for each source of information. Use the following guidelines for developing your essay:

  • Write a summary for each topic tying together the information learned about that topic.
  • Analyze the market forces that would favor using one reimbursement method over another.
  • Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.
  • Evaluate the advantages and disadvantages of the payment methodologies reviewed from the provider and hospital point of view.
  • Evaluate new payment methodologies resulting from the Patient Protection and Affordable Care Act (PPACA) and discuss future changes in reimbursement methodologies.
  • Compare and contrast each article to the information discussed in the course textbook.

Based on your understanding, create a 3- to 4-page Microsoft Word document that includes the answers to the questions for the above topics.

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC3020_W4_A2_LastName_FirstInitial.doc.

Submit your document to the W4 Assignment 2 Dropbox by Tuesday, January 14, 2014.

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managed care

The paper will be five paragraphs long, presented in APAformat, “with a minimum of three online references” and a wordcount of at least 500. Grading criteria will be based upon thestudent’s ability to describe the topic of their choice, as well asanswering the questions associated with it. APA guidelines,spelling, and grammar will also be considered. Please providereferences of your findings thanks in advance.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

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Managed Care

lease provide your reference to either question that yourespond to.Thanks in advance.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

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Managed Care

The overall goal of the Session Long Project is to examinehealth care delivery in the United States from a personalperspective.  As the third assignment towards completingthe Session Long Project, please answer some questions relatedaccreditation.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

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managed care

The paper will be five paragraphs long, presented in APAformat, “with a minimum of three online references” and a wordcount of at least 500. Grading criteria will be based upon thestudent’s ability to describe the topic of their choice, as well asanswering the questions associated with it. APA guidelines,spelling, and grammar will also be considered. Please providereferences of your findings thanks in advance.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

[order_calculator]

Managed Care

lease provide your reference to either question that yourespond to.Thanks in advance.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

[order_calculator]

Managed Care

The overall goal of the Session Long Project is to examinehealth care delivery in the United States from a personalperspective.  As the third assignment towards completingthe Session Long Project, please answer some questions relatedaccreditation.

We are always aiming to provide top quality academic writing services that will surely enable you achieve your desired academic grades. Our support is round the clock!

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Managed Care

What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions

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Managed Care

Assignment 2: Dropbox Assignment

Managed Care

In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).

Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).

 
 

Research managed care’s inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.
    •  
       

References:

Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health

Benefits Annual 2012 Survey. Retrieved from http://ehbs.kff.org/pdf/2012/

8345.pdf

Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http://www.

who.int/bulletin/archives/78%286%29830.pdf

Scutchfield F. D., Lee, J., & Patton, D. (1997). Managed care in the United States.

Journal of Public Health Medicine19(3), 251–254. Retrieved from http://

jpubhealth.oxfordjournals.org/content/19/3/251.full.pdf

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Name your document SU_HCM3002_W5_A2_LastName_FirstInitial.doc.

Submit your document to the W5 Assignment 2 Dropbox by Tuesday, April 1, 2014.

 
 

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