HEALTH CARE DELIVERY SYSTEM IN THE UNITED STATES

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.

As U.S. citizens, we have all interacted (and
will continue to interact) with the delivery of health care. In fact, insurance
plans/organizations are an important part of our healthcare delivery system.
Most healthcare insurance plans are either an Exclusive Provider Organization
(EPO), Health Maintenance Organization (HMO), or Preferred Provider
Organization (PPO). It is important to note that health insurance is highly
government regulated, and, as a result, is influenced by political culture.

View the following video:

JS Downey Insurance Service. (2015, April 8). Understanding
HMO, PPO, and EPO plans [Video file]. Retrieved from https://www.youtube.com/watch?v=_AqIaoxouks

Read the following article:

Schroeder, S. A. (2014). Physicians, politics,
and health insurance expansion. Journal of General Internal Medicine, 29(2),
267-8.

For the Module 1 Session Long Project,
complete the following:

Part 1:

In at least 2 pages, explain the type of health
insurance coverage you currently have (you do not need to provide the name of
your insurance company):

Insurance Product
(e.g., HMO, PPO, POS, Indemnity, or others)/Self-pay if not insured.Source (employer,
government, parents, or others).Out-of-pocket costs:
co-payments, deductibles, expenses, etc.Level of coverage
(e.g., 100% coverage or 80% coverage with 20% coinsurance).Major limitations on
choice of providers or self-pay: (a) Are you required to choose a primary care
physician? (b) Are there limitations on use of out-of-network providers? (c)
What are the limitations to self-pay?

Part 2:

As noted, U.S. political culture has an
influence on the U.S. health care delivery system. Draft a 1- to 2-page memo to
your local politician or lobbyist expressing the limitations stated in Part 1.
Make recommendations on how political culture and values can either reduce
these limitations or further increase them.

SLP Assignment Expectations

Conduct additional
research to gather sufficient information to support your response/position.Limit your paper to
3-4 pages.Support your SLP with
peer-reviewed articles, using at least 3-4 references. Use the following source
for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.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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