Assume the role of a consultant advising a benefits manager for a local telecommunications organization. The company is self-funded and has 25,000 employees, dependents, and retirees eligible for health benefits. The employees are currently enrolled in a managed PPO plan administered by a commercial insurer. The employer’s health plan costs have increased by 15% over the prior year. Therefore, leaders are considering more cost effective options. Identify at least three (3) managed care options that the organization would consider to be cost effective. Next, compare the three (3) options and make a recommendation based on your comparisons.

Compose an essay of no less than 2 pages discussing the topics covered in this unit. Your essay should include the following:

 Describe at least three public goods provided by public institutions and how these public goods impact society domestically and/or internationally.

 Discuss how demand and supply of public goods is influenced by external, environmental, economic, and political factors.

 Discuss Arrow’s impossibility theorem, and give an example of how it can affect the political process, other than the example discussed in the unit lesson and the textbook.

Evaluate the implications of the effects of contemporary health policy on providers and consumers. MN506-4: Assess the legislative and policy-making strategies specific to scope of practice and nursing roles that influence health care services and practice. The group will choose a health care treatment option that is controversial and maybe costly. Describe the positive and negative benefits from the treatment, evidence of effectiveness, and the potential harm of a different treatment option. What strategies would you use to advocate for a legislative change in your state to influence insurance coverage for this treatment. The chosen topic for the controversial & costly health care treatment option for this assignment is Electroconvulsive Therapy in the Mental Health Patient 1. Choose a controversial health care treatment option. Describe the treatment. (ME) 2. Describe the social and legal controversy associated with your controversial treatment. (ME) 3. Describe the evidence that supports the effectiveness of the controversial treatment. 4. Describe the evidence that does not support the effectiveness of the controversial treatment. 5. Compare and contrast the positive and negative benefits or harm of the controversial treatment. 6. Compare and contrast positive and negative aspects of available traditional treatments. 7. Compare and contrast the costs of the controversial treatment with the costs associated with traditional treatments 8. Describe the required process for legislative change to occur in your state. 9. Describe a strategies that you would you use at the local and state level to advocate for a legislative change in your state that would influence insurance coverage for this treatment. 10. Provide an estimated timeline for your legislative change to occur. Use the steps describe in required process for legislative change for your state. Note: • This is a fact-based Assignment that will not include your opinion. • This will require research and support for what is written. • The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse. • The paper should have a minimum of 3 citations of which should be scholarly journals no older than 5 years and when appropriate, some of these should be case law or applicable statutes. • The paper should be a minimum of 3 pages not including the title or reference page. Assignment Requirements: You must only utilize scholarly journal articles as references that are equal to or less than 5 yrs. old. Before finalizing your work, you should: • Be sure to read the Assignment description carefully (as displayed above); • Consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and • Utilize spelling and grammar check to minimize errors. Your writing Assignment should: • Follow the conventions of Standard American English (correct grammar, punctuation, etc.; • Be well ordered, logical, and unified, as well as original and insightful; • Display superior content, organization, style, and mechanics; and • Use APA 6th Edition format as outlined in the APA Progression Ladder.