MHA 628
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Please check All Included Assignment Below
MHA 628 Week 2 Assignment Pay for Performance
MHA 628 Week 3 Final Paper Preparation (ACO Model Quality of Care)
MHA 628 Week 4 Assignment Internet Search
MHA 628 Week 6 Final Paper (ACO Model Quality of Care)
MHA 628 Week ..
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In preparing for this discussion, read Chapters 1 and 2 of the course text. For your initial post, address the following in the discussion forum:
· Select a managed care plan such as an HMO, PPO, POS, or EPO and discuss its advantages and disadvantages.
· Explain the main feat..
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In preparing for this discussion, read Chapter 3 of the course text as well as the required document, The Final Rule for the Medicare Shared Savings Program. For your initial post, address the following in the discussion forum:
· Describe the roles, functions, and liabilities of the boa..
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MHA 628 Week 1 Discussion 1 Comparing Health Plans
MHA 628 Week 1 Discussion 2 Governance and Management
MHA 628 Week 2 Discussion 1 Provider Payments
MHA 628 Week 2 Discussion 2 Provider Contracts
MHA 62 Week 3 Discussion 1 Disease Management Programs
MHA 628 Week 3 Dis..
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Pay for Performance (P4P)
The U.S. healthcare system has been criticized for high-cost, inefficacy, and issues on quality. P4P is an approach used to provide incentives to physicians and health care provider organizations to achieve improved performance by increasing quality of car..
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In preparing for this discussion, read Chapter 5 of the course text. For your initial post, address the following in the discussion forum:
· Explain the pros and cons of four provider payment methods: (a) fee-for-service; (b) capitation; (c) global capitation; and (d) bundled payment.
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In preparing for this discussion, read Chapters 4 and 6 of the course text. For your initial post, address the following in the discussion forum:
· Discuss common issues in the contracting process.
· Describe four provider obligations commonly included in managed care contract..
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In preparing for this discussion, read Chapters 8 and 16 (p 338) of the course text. For your initial post, address the following in the discussion forum:
·Define disease management (DM) programs.
·Describe the impacts of DM programs on healthcare quality and cost.
·Identify challenge..
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In preparing for this discussion, read Chapter 13 of the course text. For your initial post address the following steps:
· Step 1. Research a prevention program from a health plan. (You may use your own health insurance plan for your response.)
· Step 2. Criticize the selected..
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Final Paper Prep: For the Final Paper, you are to choose an emerging managed care delivery model, Accountable Care Organizations, or Patient-Centered Medical Homes. For this assignment, you will complete section two of your Final Paper – Managed Health Care Quality – to address how the select..
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Internet Search
Access the Internet and locate a health insurance company’s (e.g. UnitedHealth, Aetna, etc.) website. Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following:
Describe member services and incentives.
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In preparing for this discussion, read Chapters 16 and 22 of the course text. For your initial post, address the following in the discussion forum:
· Describe the sales process in the employer-sponsored model.
· Compare the differences between rating and underwriting.
·&nb..
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In preparing for this discussion, read Chapter 23 of the course text. For your initial post, address the following in the discussion forum:
· Describe the information systems functionalities in claims management and member services.
· Identify the significance of information s..
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Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system.
Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the ..
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State Licensure Requirements
In preparing for this discussion, read Chapter 24 of the course text. For your initial post, address the following in the discussion forum:
• Compose the organization's el..
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Military Health System and Tricare
In preparing for this discussion, read Chapter 26 of the course text. For your initial post, address the following in the discussion forum:
• Discuss strengths and t..
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In preparing for this discussion, read Chapters 28, 29 and 30 of the course text. For your initial post,
·Step 1: Select one law from (1) Employee Retirement Income Security Act (ERISA), (2) Consolidated Omnibus Budget Reconciliation Act (CORBA), (3) Health Insurance Portability and Accountab..
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Final Paper Prep: For the Final Paper, you are to choose an emerging managed care delivery model, Accountable Care Organizations, or Patient-Centered Medical Homes. For this assignment, you will complete section two of your Final Paper – Managed Health Care Quality – to address how the select..
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