Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS)

Managed Care

In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).

Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).

Research managed care’s inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

References:

Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health

Benefits Annual 2012 Survey. Retrieved from http://ehbs.kff.org/pdf/2012/

8345.pdf

Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http://www.

who.int/bulletin/archives/78{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}286{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}29830.pdf

Scutchfield F. D., Lee, J., & Patton, D. (1997). Managed care in the United States.

Journal of Public Health Medicine19(3), 251–254. Retrieved from http://

jpubhealth.oxfordjournals.org/content/19/3/251.full.pdf

Support your responses with examples.

ISSUE RELATED TO SOME MENTAL HEALTH POLICY

ISSUE RELATED TO SOME MENTAL HEALTH POLICY

New is a mental health class, and you will respons the response thank you, send me a hand shake

  1. Have the readings assigned for this week had an impact on your view of mental disorders, the stigma surrounding it, and the prevalence of these disorders?  Why or why not?

 

  1. Find an article about an issue related to some mental health policy issue contained in this week’s readings and discuss it briefly.  The article does not have to be from an academic journal; it can be from a newspaper or magazine article. Possible topics may include, but are not limited to the impact on policy of returning veterans of the Iraq/Afghanistan war, new treatments, the public health model, the fate of mental hospitals and care of those in them, the closing of mental hospitals, etc.
  2. Have the readings assigned for this week had an impact on your view of mental disorders, the stigma surrounding it, and the prevalence of these disorders?  Why or why not?

:Discuss the principles of microbial genetics in health science

Kaplan University School of Health Sciences HS320 Microbiology COURSE # Unit 9 Final Project: Final Project, Part III: Pathogens and Health Unit outcomes addressed in this Assignment:  List the environmental cycles where microbes play an important role Course outcomes assessed with this Assignment: HS320-4:Discuss the principles of microbial genetics in health science. GEL 1.1: Demonstrate college-level communication through the composition of original materials in Standard American English. Instructions  Write an essay that analyzes “The role of any chosen pathogen in human health and disease and public health”  Using the knowledge you have gained throughout this course, your final paper must include the following:  Appropriate microscopic, cultivation and non-cultivation methods for the chosen pathogen  Application to clinical microbiology processing for the chosen pathogen  Human / microbe relationships  Analysis of the virulence factors of microorganisms and host factors to types and outcomes (include public health importance)  Prevention and treatments strategies Requirements  Essay should be a minimum of 1000 words.  The paper you submit must be your own work.  The viewpoint and purpose of this Assignment should be clearly established and sustained.  Assignment should follow the conventions of Standard American English (correct grammar, punctuation, etc.).  Your writing should be well ordered, logical, and unified, as well as original and insightful.  Your work should display superior content, organization, style, and mechanics. 2 Kaplan University School of Health Sciences HS320 Microbiology COURSE #  Follow APA style format, including Times New Roman 12 point font and double spacing.  Include a minimum of five references, one of which should be your textbook. All internet sources must be original articles or government resources. Wikipedia or other non-peer reviewed resources are not acceptable.  Include a title page and reference page.  Use APA style for all citations.  More details can be found in the GEL 1.1 Universal Writing Rubric, in the Kaplan Writing Center, and within the document in Doc Sharing named “Writing Center Resources.” Submitting Your Project Put your Project in a Word document. Save it in a location and with the proper naming convention: username-HS320-section-unit9-Assignment.doc (username is your Kaplan username, section is your course section). When you are ready to submit it, go to the Dropbox and complete the steps below:  Click the link that says “Submit an Assignment”.  In the “Submit to Basket” menu, select Unit 9: Project.  In the “Comments” field, make sure to add at least the title of your paper.  Click the “Add Attachments” button.  Follow the steps listed to attach your Word document.  To view your graded work, come back to the Dropbox or go to the Gradebook after your instructor has evaluated it. Make sure that you save a copy of your submitted Project. Unit 9 Final Project Grading Rubric = 150 points Assignment Requirements Points possible Points earned by student Provides appropriate microscopic, cultivation and noncultivation methods for the chosen pathogen 0–30 Provides an application to clinical microbiology processing for chosen pathogen 0–30 Provides specifics on the human / microbe relationship 0–30 3 Kaplan University School of Health Sciences HS320 Microbiology COURSE # Provides an analysis of the virulence factors of microorganism and host factors to types and outcomes (including public health importance) 0–30 Provides both prevention and treatment strategies 0–30 Total (Sum of all points) Points deducted for spelling, grammar, and/or APA errors. Adjusted total points Instructor Feedback:

National Health Expenditure Analysis

Assignment 3: Dropbox Assignment

National Health Expenditure Analysis

We have discussed the level of NHE in the United States and looked to some degree at how much money is being spent for care by various service categories such as hospitals and physicians.

Click here to view and study the NHE data for selected calendar years between 1970 and 2003 and for selected service categories (with the exception of the catch-all category of “other”) (Centers for Medicare & Medicaid Services [CMS], n.d.).

Answer the following questions in a 2- to 3-page Microsoft Word document:

  • Examine the trends in expenditures for the service categories presented in the table. What is the magnitude and direction of spending changes within and across each of these categories: the percentage of GDP spent on NHE and the NHE per capita.
  • What can you say about how the price of medical care services changes? As you think about what you might say, realize that the figures have been adjusted for inflation. Also, assume that not all increases in healthcare costs are caused by increases in utilization.
  • Examine the rates of growth in the service categories (except the category “other”). What trends do you see in the mix of healthcare services used by the US public? What factors might contribute to these trends?

Support your responses with examples.

Cite any sources in APA format.

Reference:

Centers for Medicare & Medicaid Services. (n.d.). National health expenditure data.

Retrieved from http://www.cms.gov/Research-Statistics-Data-and-Systems/

Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/

tables.pdf

Reference from book

 

Lee., & H., R. (2015). Econimics for Healthcare Managers, 3rd edition

 

Ch.1 Why Health Economics

Ch.2 A overview of the U.S. healthcare system

Ch. 17 Regulation