Preferred provider organizations

Assignment Help Operation Management
Reference no: EM132762548

Managed care has had a profound impact on the way that health care is delivered and paid for in the United States. A large portion of Healing Hands Hospital's revenue comes from managed care reimbursement making managed care a very important part of the business process. Part of the Task Force's work will include obtaining feedback from the community and a public relations committee has been formed to help educate the community when decisions are made about changes to Healing Hands Hospital. Mr. Johnson, Healing Hands Chief Financial Officer, has asked you to help provide some training to the members of the public relations committee to help them understand managed care and other possible models for reimbursement including value-based reimbursement and Accountable Care Organizations (ACOs), so this can be included in their campaign of community education. Your report to Mr. Johnson should include:

Identify three types of managed care plans, such as Preferred Provider Organizations (PPO) and how they impact the way that health care is delivered at Healing Hands Hospital.

Managed care has changed dramatically in the United States over the years. What did managed care look like 10 years ago compared to how it looks today?

Discuss the future of managed care as a viable reimbursement model for Healing Hands Hospital compared to Accountable Care Organization model and valued based reimbursement.

Reimbursement by CMS for Medicare patients is also an important source of revenue for Healing Hands Hospital. Include a description of the different models for Accountable Care Organizations (ACOs) and what would be a good strategy for Healing Hands to ensure the highest level of Medicare reimbursement for the future.

Through legislation such as the Affordable Care Act and MACRA, there are regulations and requirements that are designed to improve patient quality of care and ensure highest levels of reimbursement. Include how these laws impact Healing Hands Hospital and its financial plans.

Mr. Johnson, like all healthcare management professionals, believes that the data and information presented must be backed by good research and the reference sources must be listed appropriately in the written report.

Reference no: EM132762548

Questions Cloud

Find what amount should debited to factory overhead control : Grace Company manufactures picture frames, What amount should be debited to Factory Overhead Control to record spoilage pertaining to unrecovered cost?
Constant horizontal force of magnitude : How much work has the farmer done on the wagon?
How many bonds will Lunar need to sell : Assume that all bonds are issued at a par value of $1,000. How many bonds will Lunar need to sell to raise the ?$6,300,000?
What is the project npv and project irr : What is the project's NPV? (A negative value should be indicated by a minus sign. Do not round intermediate calculations. Round your answer to 2 decimal places)
Preferred provider organizations : Identify three types of managed care plans, such as Preferred Provider Organizations (PPO)
What is a multiple-step income statement : What is a multiple-step income statement? Do you think the information it provides beyond "bottom-line" net income is good for the overall health of the company
How do review the candy inventory procedures : How do Review the candy inventory procedures and suggest any modifications that might be needed. The City of Milford Parks and Recreation Department operates
Field of healthcare administration : As it relates to your choice of professions in the field of healthcare administration, specify the most important concept that you learned from this course.
What is the magnitudes of the forces : What is the magnitudes of the forces exerted by the string and the pivot on the board?

Reviews

Write a Review

Operation Management Questions & Answers

  Provides opportunity to reflect on lessons learned in module

A reflection journal provides an opportunity to reflect on lessons learned in the module. What were the most important lessons learned in this module?

  Calculate how large an area one tank will cover

Calculate how much concentrated pesticide is required in total?

  Environmental perspective when thinking about supply chain

What are some of the aspects to be considered from the environmental perspective when thinking about the supply chain?

  Establishing a worst-case scenario

Establishing a worst-case scenario, discuss the known liability that Biovail has incurred for deceiving its investors.

  Explain the role of leadership in the situation

Do you want to resolve, solve, or dissolve the problem? Consider the consequences as well for the plan of action in your recommendation.

  Demand transportation services into foreign markets

Which of the following is NOT a possible reason why Uber opted to expand its on-demand transportation services into foreign markets?

  Determine the drip rate

The prescribed antibiotic dosage is doubled to 8.0 mg per hour. Using the 0.75 mL/min saline solution drip, solve for the required antibiotic solution drip rate.

  Examine the primary modern methods of producing crops

Examine the primary modern methods of producing crops, livestock, and fish used to increase the production of food.

  Performed incoming quality control inspections

In the past, Alpha Corporation has not performed incoming quality control inspections but has taken the word of its vendors.

  How many total items should be counted each day

The University Store has 8,000 items in its inventory. The management of these items should be as prescribed in the table below.

  Hazard in the community or generic

Should a emergency hazard planner write plans for each hazard in the community or generic?

  Understanding of physicians and medical staff activities

Healthcare administrators need a solid understanding of physicians and their medical staff activities. Explain the typical categories of medical staff in a community hospital setting.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd