health care in the state of Maryland

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To continue the discussion about health care in the state of Maryland, we will discuss this week on how it is delivered. The State of Maryland is unique in that hospital rates (the cost charged for each patient admitted into a Maryland hospital) are governed by the Maryland Health Services Cost Review Commission (HSCRC). Other state’s rates are driven by what the market will bear and the prices charged are what the hospitals set themselves for the services they provide.

For example, “When a patient arrives at Bayonne Hospital Center in New Jersey requiring treatment for the respiratory ailment known as COPD, or chronic obstructive pulmonary disease, she faces an official price tag of $99,690. Less than 30 miles away in the Bronx, N.Y., the Lincoln Medical and Mental Health Center charges only $7,044 for the same treatment, according to a massive federal database of national health care costs.” (Boice, Bycoffe and Scheinkman, 2013. Huffington Post, Hospital Prices No Longer Secret As New Data Reveals Bewildering System, Staggering Cost Differences.http://huffingtonpost.com/2013/05/08/hospital-prices-cost-differences_n_3232678.html). These inflated costs are also used for negotiating discounts with private insurance companies (Medicare and Medicaid rates are set for each diagnosis).

With Maryland’s rates being set by the HSCRC, the cost of insurance here is among the cheapest in the country. Health plans that will operate on the new health exchanges created under the federal reforms will charge among the lowest premiums of any state.

Maryland is not the only state that has implemented rate setting. New York, New Jersey, Connecticut, Massachusetts, Washington and West Virginia all experimented with rate setting in the past as well. However, these states have since discontinued.

Given the success Maryland has found in providing lower health care cost, (based on the readings and your research) why do you think these states did not continue with regulating hospital rate setting?

Could price controls work nationwide? Should the federal government impose mandates on all states to have a state agency such as the HSCRC in Maryland to regulate their hospital rates? Please be specific with your reasons for why or why not and show justification from your research.

What could be the negative effects of each state’s rates being regulated as it relates to patient care?

Below is supplemental reading to this week’s discussion:

http://commonwealthfund.org/~/media/Files/Publications/Issue{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}20Brief/2009/Oct/1332_Atkinson_state_hospital_ratesetting_revisited_1015.pdf

http://marylandhbe.com/wp-content/uploads/2013/07/Analysis-of-Individual-Market-Rates-for-Health-Plans-on-Maryland-Health-Connection.pdf

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Q- 2

The Maryland Health Care Commission regulates health care in the State of Maryland. As you will note from the second assigned reading, it is comprised of 5 Centers who are very distinct. Please list out one service from each of the 5 Centers that you would find helpful as a health care administrator and why (be specific). FYI – you will have 5 separate services upon completion of this exercise.

For example, as a health care administrator (in a hospital), I am interested in adding a new service line and need to obtain a Certificate of Need. In order to obtain this Certificate of Need, I will work with the Center for Hospital Services to find out what I need to do in order to facilitate this process.

Please also see the following link for information about Maryland Certificate of Need.

http://mhcc.maryland.gov/consumerinfo/hospitalguide/practitioners/other_information/overview_of_maryland_regulatory_system_for_hospital_oversight.html

-minimum 200 words Maximum 400 words for each question.

HEALTH CARE STRATEGY AND STRATEGY MANAGEMENT IN COMPETITIVE MARKETS

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HEALTH CARE STRATEGY AND STRATEGY MANAGEMENT IN COMPETITIVE MARKETS

PPT

Document Preview:

Each Student will be provided a case. The facts of the case will form a base on which to apply the skills learned in the course.
Work products:
Strategic Options -Identify the key external and internal challenges presented by the case along with unique and viable strategic options through application of Scenario Planning, or Blue Ocean Strategy as presented in the course. For those who use scenario planning the Student will offer at least two different and plausible scenarios to which the strategies may have to respond and the strategic options that emerge from each (25 Points)
Strategies and Tactics -Select and defend the most relevant strategies (strategic goals) and tactics to address the facts of the case. Describe how the scenarios served to influence the strategies selected and rejected and what a long term vision for this organization may be.
Strategy Map -Based on the materials in course prepare a strategy map demonstrating how implementation will cascade into the organization along with the metrics (scorecard) that will be tracked to monitor success (25 Points)
Report and Recommendations -A final edited PPT of the Student project including a description of the action you would be requesting from a board to execute your recommendations. The content from earlier submissions can be of your choosing but please include the challenges you’ve identified in funding the strategy and a prioritization of strategies based on the analysis. (45 points)

Attachments:

Compare and contrast two technological advances that have affected health care delivery in America

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Evaluate at least two different historical perspectives on the delivery of health care in America. How has technology and the lack of developing
technology affected these perspectives?

2. Compare and contrast two technological advances that have affected health care delivery in America.

3. How have these changing technological advances affected public opinion of the changing health care system? Are the opinions positive or negative? How do
you see these advances affecting the delivery of health care in the future?

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Evaluate at least two different historical perspectives on the delivery of health care in America. How has technology and the lack of developing
technology affected these perspectives?

2. Compare and contrast two technological advances that have affected health care delivery in America.

3. How have these changing technological advances affected public opinion of the changing health care system? Are the opinions positive or negative? How do
you see these advances affecting the delivery of health care in the future?

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Describe the components of healing hospitals and their relationship to spirituality.

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Read all readings for this module and research other articles or websites associated with the healing hospital paradigm. As you read, consider how this paradigm might influence your philosophy of caregiving. Any hospital with a healing component to its mission can be used as a resource.

Write an essay of 1,000-1,250 words in which you address the following:

1. Describe the components of healing hospitals and their relationship to spirituality.

2. What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?

3. Include at least one biblical passage or parable that you believe supports the concept of a healing hospital and provide rationale for your selection.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Remember that Wikipedia is not considered a scholarly source.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.