healthcare operations management 3 4 page paper
Healthcare Operations Management 3-4 Page Paper
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Order Paper NowAssignment 3: The Implications of Managed Care on the U.S. Healthcare System
Managed health care emerged in the early 19th century in response to the growing cost of medical services in the United States. It is an ever-evolving approach to combining the financing and delivery of health care that seeks to manage costs, increase access, and ensure or improve quality of care through a variety of methods, including provider network management, utilization management, and quality assurance.
Write a three to four (3-4) page paper in which you:
- Describe the evolution of managed care and the forces that have driven its evolution.
- Explain how managed care influences access to and utilization of healthcare services within the current healthcare system.
- Evaluate the efficacy of managed care plans in containing healthcare costs.
- Differentiate and compare at least three (3) models of managed care organizations.
- Summarize at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and appraise how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare.
- Use at least three (3) recent (i.e., last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Use at least three (3) recent (i.e., last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
- Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
- Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
- Evaluate the shifts in multi-provider healthcare systems and its impact on market segments.
- Assess how changes in the economic and commercial environments have affected the health sector.
- Use technology and information resources to research issues in Health Care Operations Management.
- Write clearly and concisely about Health Care Operations Management using proper writing mechanics.
Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.
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Assignment 3: The Implications of Managed Care on the U.S. |
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Criteria |
Unacceptable Below 70% F |
Fair 70-79% C |
Proficient 80-89% B |
Exemplary 90-100% A |
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1. Describe the evolution of managed care and the forces that have driven its evolution. Weight: 20% |
Did not submit or incompletely described the evolution of managed care and the forces that have driven its evolution. |
Partially described the evolution of managed care and the forces that have driven its evolution. |
Satisfactorily described the evolution of managed care and the forces that have driven its evolution. |
Thoroughly described the evolution of managed care and the forces that have driven its evolution. |
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2. Explain how managed care influences access to and utilization of healthcare services within the current healthcare system. Weight: 20% |
Did not submit or incompletely explained how managed care influences access to and utilization of healthcare services within the current healthcare system. |
Partially explained how managed care influences access to and utilization of healthcare services within the current healthcare system. |
Satisfactorily explained how managed care influences access to and utilization of healthcare services within the current healthcare system. |
Thoroughly explained how managed care influences access to and utilization of healthcare services within the current healthcare system. |
|
3. Evaluate the efficacy of managed care plans in containing healthcare costs. Weight: 20% |
Did not submit or incompletely evaluated the efficacy of managed care plans in containing healthcare costs. |
Partially evaluated the efficacy of managed care plans in containing healthcare costs. |
Satisfactorily evaluated the efficacy of managed care plans in containing healthcare costs. |
Thoroughly evaluated the efficacy of managed care plans in containing healthcare costs. |
|
4. Differentiate and compare at least three (3) models of managed care organizations. Weight: 10% |
Did not submit or incompletely differentiated and compared at least three (3) models of managed care organizations. |
Partially differentiated and compared at least three (3) models of managed care organizations. |
Satisfactorily differentiated and compared at least three (3) models of managed care organizations. |
Thoroughly differentiated and compared at least three (3) models of managed care organizations. |
|
5. Summarize at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and appraise how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare. Weight: 10% |
Did not submit or incompletely summarized at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and did not submit or incompletely appraised how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare. |
Partially summarized at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and partially appraised how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare. |
Satisfactorily summarized at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and satisfactorily appraised how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare. |
Thoroughly summarized at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and thoroughly appraised how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare. |
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6. 3 references Weight: 10% |
No references provided |
Does not meet the required number of references; some or all references poor quality choices. |
Meets number of required references; all references high quality choices. |
Exceeds number of required references; all references high quality choices. |
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7. Clarity, writing mechanics, and formatting requirements Weight: 10% |
More than 6 errors present |
5-6 errors present |
3-4 errors present |
0-2 errors present |
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