Managed Care And Accountable Care Organizations Slp2

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The overall goal of the Session Long Project in this course is to examine health care delivery in the United States from a personal perspective and provide recommendations for improvement.

According to the United States Census Bureau (2016), rural areas cover 97% of the nation’s land area, but contain 19.3 percent of the population (about 60 million people). Access to health care services is vital to good health; however, U.S. rural residents face a variety of access barriers. For rural residents to have sufficient health care access, necessary and appropriate services must be available and obtainable in a timely manner.

Rural Health Information Hub. (2017). Healthcare Access in Rural Communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access

United States Census Bureau. (2016). New Census Data Show Differences Between Urban and Rural Populations. Retrieved from https://www.census.gov/newsroom/press-releases/2016/cb16-210.html

For Module 2 SLP, you are employed at a non-profit organization in rural Minot, North Dakota (population ≈ 49,000). As the Lead Health care Project Manager, you have been charged with developing a project charter for the new “Rural Health Improvement” project. This project goal is to increase access to health care services in the area. Based on your module reading and your own research, include the following in your project charter:

  1. Factors of your project (i.e., aim, timeframe, cost, scope, etc.).
  2. Major stakeholders and each stakeholder interest in the project.
  3. At least two innovative approaches to health care delivery.
  4. At least two expected outcomes of your project.

You may use the following template as a guide to create your Project Charter: https://www.med.unc.edu/pediatrics/quality/documents/Improvement%20Project%20Charter%20Template.doc/view

Use this guide on completing a Project Charter.

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your project charter.
  2. Limit your paper to 2 pages.
  3. Support your SLP with peer-reviewed articles, using at least 2-3 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
  4. You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
 
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Managed Care And Accountable Care Organizations

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Assignment Overview

There are various types of plans consumers can select. MCOs, HMOs, PPOs, POSs, or ACOs are the most common ones; however they all supply various benefits and drawbacks. Consumers (patients) have the right to choose the type of plan that best fits their needs. In fact, health care is a consumer-driven industry and as health care costs have continued to increase, consumer-driven health plans (CDHP) have become the next new thing (after managed care) (Fronstin & MacDonald, 2008). As a health care leader, it is vital that you understand the differences in these plans.

Fronstin, P. & MacDonald, J. (2008). Consumer- Driven Health Plans: Are they Working. Retrieved from http://online.wsj.com/ad/employeebenefits-consumer_driven_plans.html

Case Assignment

For the Module 2 Case Assignment, conduct additional research as needed and prepare a 3- to 4-page comparative essay. Your comparative analysis should include a detailed comparative chart (see example at the following source: https://philsblogspace.files.wordpress.com/2012/10/eco-chart.jpg?w=1400). In your comparative analysis and chart, you are to evaluate and discuss:

  1. The key features, differences, and disadvantages between MCOs, HMOs, PPOs, POSs, and ACOs.
  2. The key features of a Consumer-Driven Health Care Plan (CDHP).
  3. The future of CDHPs, MCOs, HMOs, PPOs, POSs, and ACOs.

You are to support your analysis and views with at least four scholarly references (i.e., peer-reviewed journal).

For additional information on how to write a comparative analysis, review the following source: https://writingcenter.fas.harvard.edu/pages/how-write-comparative-analysis

Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your proposal.
  2. Limit your response to a maximum of 4 pages.
  3. Support your proposal with at least 4 peer-reviewed articles. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
 
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Managed Care Myths 19042043

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Choose a common myth associated with managed care. You may use one of the myths discussed in this week’s reading assignment, or come up with one on your own. Write a 1-2 page analysis on why you think this myth came about and why it still may be prevalent today. Explain to what degree the myth is based on facts, truths, and misunderstandings.

Summarize the evidence from research that counters or supports the premise of your myth. Conduct research in at least two sources, not including your textbook. Cite your sources using APA style guidelines.

 
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Managed Care Organization Mco

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You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting. 

Devise a proposal that addresses the following:

  • Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following:     
    • Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement)
    • Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization.
    • A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures]
    • Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly, support your reasoning for each recommended person to participate in the review.
  •  Submit one (1) single Microsoft Word document
 
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Managed Care Organizations Mcos Vs Accountable Care Organizations Acos

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Discuss the differences and similarities between Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs). Given the current health care environment, provide a solid speculation to how MCOs and ACOs may transform to meet the needs of its consumers. Be sure to support your thoughts and analysis with scholarly sources.

*Will also need to respond to 3 classmate’s post, will send that after you turn in assignment.

 
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Managed Care Plans Healthcare

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As a current or aspiring healthcare manager, why do you feel you might need to understand managed care plans.

Must be 200 words. No references or citations are necessary.

 
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Managed Healthcare

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digital resources, discuss different types of models for managed care. Address the following:

  • Discuss at least 1 reason why the managed care delivery model was created. 
  • Describe at least 2 different types of managed care, including their differences. 
  • Identify at least 1 advantage and 1 disadvantage of the managed care model. 

NOTE: Use at least two scholarly references and cite using APA format.

 
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Management In A Patient Who Has To Frequently Self Catheterize

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What is the self-directed learning issue that was identified in your oral presentation?

Management in a patient who has to frequently self-catheterize.

Research the self-directed learning issue and provide a summary of your findings which is fully supported by appropriate, scholarly, EBM references.

  • Guidelines
  • The report should be between 5-7 paragraphs in length, discussing something learned from the student’s research about the self-directed learning topic.
  • Correct grammar, punctuation, and spelling should be observed.  
  • In-text citations and reference page should be written in APA format and scholarly evidence-based medicine (EBM) references must be used.
 
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Management Interviews

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Management Interviews 

Interview two persons in a nursing leadership/management role, such as a Charge Nurse/Team Leader, Head Nurse/Manager, Director of Nursing, or Chief Nursing Officer.  Select one leader that has been in the role less than two years and the other that has at least two years of leadership or management experience. Compare and contrast the findings from the two interviews with the best practices identified in the literature. Then reflect on your own perceptions of the roles.   For example, would you see either as a career goal for yourself?  Why or why not?

In your interviews, ask each person the following questions:

  • What are the qualifications for your management position?
  • What type of training did you receive for this position?
  • Describe a challenge you have had related to decision making, staffing, conflict or discrimination.  How did you overcome it? 
  • Describe specific methods you utilize to build an effective health care team.
  • What skills are there to master to support your performance in your role?

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

  • 3-4 page paper – APA format
 
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Management Orientation Program Proposal

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Management Orientation Program Proposal

You have the opportunity to create a proposal to present to the leadership team for the orientation of new nurse managers. This project will include the creation of an orientation using leadership and management topics that will be selected to support the nurse manager as he or she transitions into the new role.  This project will compile specific topics, resources and facilitators to support a new nurse manager as they get acclimated to the organization or unit. APA citations expected.  

Your proposal should include:

  • Introductory and concluding remarks
  • Identify 8 specific topics to support the new nurse manager
  • Learning objectives for the lesson(s)
  • Rationale for including each topic with a synthesis of professional literature
  • Recommendation of internal and or external materials for each topic
  • Recommendation of a facilitator for each topic
  • Rationale listing why the materials and facilitator(s) are the most appropriate choice for that topic 
  • Two or more scholarly resources to support the rationales

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

  • 10-12 slide PowerPoint presentation – APA format
 
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