Basic components of quality and utilization management

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Reference no: EM131868667

Three articles needing summaries of at least 250 words each.

The section "part II" needs to be 3-6 pages in length.

Please follow APA format guidelines

Part -I:

Article 1 - Emphasize the importance of the role that financial measures play in a healthcare quality management system (QMS), and to propose a method to include them among its key performance indicators.

Article 2 - Policy reforms to primary health care delivery in New Zealand required government-funded firms overseeing care delivery to be constituted as nonprofit entities with governance shared between consumers and producers

Examine the consumer and producer interests in these firms' allocation of ownership and control utilising theories of competition

Article 3 - The Affordable Care Act established the Center for Medicare and Medicaid Innovation to test innovative payment and service delivery models - Reduce program expenditures while preserving or improving the quality of care provided to beneficiaries of Medicare

Part -II:

Explain why the following course objectives are important to understanding managed care:

1. Describe the basic components of quality and utilization management, including structure, process, and outcome.

2. Identify and describe the basic structure of governance and management in payer organizations.

3. Understand the basic issues involved with Medicare Advantage and managed Medicaid plans.

4. Describe the basic structure of state and federal oversight of managed care organizations (MCOs).

Include at least 3 scholarly articles as a part of your response as well as a minimum word count of 750 words. Overall response will be formatted according to APA style and the total assignment of Part II should be between 3-6 pages, not including title page and reference page.

Attachment:- assignment.rar

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In this assignment, we have summarized all the three articles provided to us. after that answers has been provided to all four questions. These questions were based on basic components of quality and utilization management, basic structure of governance and management in payer organizations, basic issues involved in the medicare advantage and basic structure of state and federal oversight of MCO's.

Reference no: EM131868667

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2/19/2018 1:26:08 AM

Attached are 3 articles needing summaries of at least 250 words each. The last section "part II" needs to be 3-6 pages in length. Please follow APA format guidelines Include at least 3 scholarly articles as a part of your response as well as a minimum word count of 750 words. Overall response will be formatted according to APA style and the total assignment of Part II should be between 3-6 pages, not including title page and reference page.

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