Identification of a Policy Alternative

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Address the following items within a 3-4 page paper:
What is the policy alternative?
What, if any, change(s) in the policy alternative are necessary and where will they need to occur (local, state, national, and international)?
Is this policy alternative congruent with social work values? Explain.
What is the feasibility of the alternative policy (political, economic, and administrative)?
Does the policy alternative meet the policy goals (e.g., social equality, redistribution of resources, social work values, and ethics)?
What are the forces that are for/against the policy?
What policy advocacy skills can be used to support the policy alternative?
How does the current policy affect clinical social work practice with clients?
What changes could be made in the policy to support the needs of clients seeking clinical services?

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Insurance and Healthcare Reimbursement

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create a Power Point Presentation discussion ACA and health insurance. Address the following questions in the presentation

Title slide
Discuss in your own words at least 2 advantages and 2 disadvantages to MCO’s (2-3 slides)
Discuss the specific characteristics of HMO’s (how are HMO’s different from other plans?) (2-3 slides)
Discuss the specific characteristics of  PPO’s (2 to 3 slides)
In your own words, explain how Obamacare/Affordable Care Act has changed healthcare in America. (3-4 slides) 
Show the case scenarios (below) (4-6 slides)

 In each case scenario that follows, calculate the financial responsibility of the patient and/or carrier and the discounted amount that the physician must write off. Show calculations and identify amounts. Student should complete each case on a separate slide. Students can place the questions on the slide, then provide the answers with calculations.

Felix Grossman was seen today for an upper respiratory infection. Total charges for today’s services are $140. The allowed amount is $90. What is the discount amount and the amount the carrier pays to the provider?
Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is the patient responsibility, discount amount, and the amount the carrier pays provider?
Mabel Smith was seen in the office today for a checkup on her rheumatoid arthritis. Total charges are $85. The allowed amount is $52. She has a copay of $10. What is the discount amount, and the amount the carrier pays provider?
Rufus Durst had a cholecystectomy performed today. Total charges are $2995.70. His benefits pay 60 percent of this procedure. The allowed amount is $1745.32. What is the patient responsibility amount, discount amount, and the amount the carrier pays? What amount will the physician write off?

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Sustainability in health care

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How do you define sustainability in health care?
What opportunities exist in your organization for meaningful dialogue about sustainable practices?”

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Adair, John. Decision Making & Problem Solving. Korgan Page. 2013. Print. Adair has published…

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Adair, John. Decision Making & Problem Solving. Korgan Page. 2013. Print.

Adair has published about 30 books on leadership and leadership development. He is currently a national and international adviser on leadership development. In this book he writes about how to apply effective decision-making, generating ideas, and thinking skills. He goes into detail every chapter on each topic. Providing graphs, figures, and even problem solving games to keep the mind active. I chose this book for the Principle of Decision Making concept. The book provides good in-depth strategies to make decisions. It would be a good source to find tips and information on how to use your mind wisely while making decisions and how to deal with the decisions you make. Buchanan, Leah; O’Connell Andrew. “A Brief History of Decision Making.” Harvard Business Publishing. Harvard Business Review Mag., Jan. 2006. Web. 28 Sept. 2013. Buchanan & O’Connell give an overview of the history of decision-making. They reference professors, authors, and philosophers in the article. They believe in order to make good choices you must calculate and manage attendant risks. Focusing on risk being the inevitable focal point of decisions. They also go over numeric system methods that have been used to calculate risks. Risk has been viewed as a number game. This source is good to read a quick overview of decision-making. The article focuses a lot on Risk, and I believe that is an important aspect of each decision being made.  

 

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