What are managed care organizations

Assignment Help Science
Reference no: EM133526297

Assignment:

Choose one of the following settings:

  • Hospitals
  • Post-Acute Care (LTC, Rehabilitation, or SNF)
  • Ambulatory Care (Primary Care or Urgent Care)
  • Behavioral Health (Rehabilitation, Outpatient, Inpatient, Residential, or School Programs)

Please research health policy and reimbursement in your chosen setting. This week's readings will get you started. Then, answer the following questions:

  1. What has been the impact of health policy in your chosen setting as it pertains to the quality and safety professional?
  2. How has reimbursement changed over time in your chosen setting to what it currently looks like today?
  3. What are the challenges that quality and safety professionals face in successfully meeting the requirements of these policies and payment models?
  4. What is the relationship between quality and safety with the fiduciary responsibility of an organization and how can the quality and safety professional assist the organization in meeting its needs?
  5. What are Managed Care Organizations (MCOs) and Clinically Integrated Networks (CINs) and how can they assist you as the quality professional in your setting?
  6. What do you foresee as future possibilities in reimbursement, and its impact on quality and quality management in your setting?

Reference no: EM133526297

Questions Cloud

What stakeholders are impacted by hippa : What stakeholder's are impacted by HIPPA? example (healthcare consumers, medical staff, etc.)
How is medicaid-managed care patients are held harmless : How is this so when Medicaid-managed care patients are held harmless and there are no associated costs?
What are the risk factors of a stroke : You will need to research/look up- what the risk factors of a stroke are and list them.
Discuss a public health issue addressed by practicum site : Consider a public health issue addressed by the practicum site and imagine being tasked with building a coalition to address that health issue.
What are managed care organizations : What are Managed Care Organizations (MCOs) and Clinically Integrated Networks (CINs) and how can they assist you as the quality professional in your setting?
Create clear vision for both internal-external stakeholders : Identify at least two strategies that you would use to create a clear vision for both internal and external stakeholders.
Utilizing technology to engage consumers-patients : Specifically, propose strategies for utilizing technology to engage consumers/patients and address social behavioral issues in Consumer Health Informatics.
Evaluate the future of healthcare information exchanges : Evaluate the future of healthcare information exchanges. How do you think the evolutions of communication and technology affect the HIM professional?
How would you use negotiation models to resolve conflict : What types of conflict were present among the employees in the home health company?

Reviews

Write a Review

Science Questions & Answers

  Describe clinical characteristics of covid-19

Explain the steps to confirm disease diagnoses with Covid-19. Describe the clinical characteristics of Covid-19. Describe surveillance methods for covid-19

  Health maintenance organization issues

Explain who bears the financial risk-the provider, the patient, or the managed care organization.

  How they interact with their patients

what are some other pros and benefits of a non profit healthcare organization vs a private healthcare organization? and why? Be specific about the why?

  What is the purpose of sampling what are some concerns and

what are some examples of operational definitions in research design within your profession?nbspfor example in the

  Measurable project objectives based on your analyses

Create at least 3 measurable project objectives based on your analyses. Determine timelines and responsibilities for each objective (e.g. with a RACI chart)

  Public health policy highlights needs and gaps

Public health policy highlights needs and gaps in public health. Understanding policy development is a critical skill for epidemiologists.

  What are conditions that lead to non-democratic governance

Why has democratic rule remained fragile and precarious in Latin America? What are the conditions that lead to non-democratic governance

  Highlight some important milestones

Write a 750- to 1,050-word article in which you define population health. Include how it came to be and highlight some important milestones that helped shape it.

  Qualitative evaluation plan

Discuss qualitative data you would collect to evaluate the effectiveness of your health promotion initiative.

  How patient care technology aids in accurate prescribing

Identify one step in the prescription writing process to increase accuracy. Discuss how patient care technology aids in accurate prescribing.

  Describe the Clinical Trial violation

Describe the Clinical Trial violation that were presented at the Fred Hutchinson Clinical Research Center and how it can impact the outcome of Clinical Trials.

  Social cognitive theories and changing behavior

How do social cognitive theories and changing a behavior reflect on individual characteristics, environmental factors, and reciprocal determinism?

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