The Evolution of Managed Care in Medicare and Medicaid

Evolution of Laws

MMA was signed by President Bush in 2003. The MMA brought about sweeping changes that increased enrollment and improved access to Medicare Plans. Similarly, the PPACA was signed into law by President Obama in 2010. The law is expected to significantly increase access to Medicaid for the uninsured, low-income families, and individuals. Medicaid managed care has been implemented by most states, mainly because of rising costs, plan quality, access to providers, and the decrease in state revenues and federal matching funding. Medicare has explored managed care for the same reasons: to reduce costs, improve quality and improve access to providers. Using the South University Online Library or the Internet, research the following two topics and write a paper evaluating the impact of these policies on Medicare and Medicaid managed care.

You need to research on the following two topics:

Medicare and managed care
Medicaid and managed care
Based on your research, answer the following questions:

Write a summary for each topic tying together the information learned about that topic.
Analyze the challenges Medicaid faces in terms of improving access to care, quality of care, and reducing the cost of care.
Analyze the challenges Medicare faces in terms of improving access to care, quality of care, and reducing the cost of care.
Draw conclusions about the future of managed care in each program—will it grow or decline? What will be the challenges for success?
Select at least four reputable articles per topic that address the challenges facing Medicare and Medicaid managed care.
As in all assignments, cite your sources in your work and provide references for the citations in APA format.

 

 

 

 

 

The Development of a Virtual Child: Exploring Experiences Through Theoretical Frameworks and Course Topics

Paper Option #1 (Raise Child) Guidelines. This paper will be 3 pages in length, single-spaced with f-inch margins in 12-point Times New Roman font. The main text should be 2 single- spaced pages, which is approximately 1500 words. The third page will be a list of references.
Students are expected to properly cite information that is not their own (e.g., textbook, peer- reviewed articles, lectures) using APA in-text citation and reference style.
For this paper, you will explore the development of your virtual child. You will write a paper based on the integration of your virtual child’s experiences and what you have learned in this course (from readings, lectures, discussions, videos, etc). Using data from the simulation, explore your virtual child’s experiences through 1 theoretical framework (e.g., Bronfenbrenner’s ecological theory, Attachment, Piaget’s cognitive theory, Erikson’s psychosocial theory) and 1 topic covered in class (e.g., friends, school, identity, gender, race, culture, media, internalizing and externalizing problems, cognitive, social, physical, or emotional development). In applying your chosen theory and topic to your virtual experience, also reflect on issues of privilege and oppression, intersectionality, and/or institutional stratification. You are required to locate and integrate 3 high-quality empirical articles that exemplify social science research regarding your topics of choice. Your grade will be based on your ability to follow the directions for the paper, the quality of your writing, and your ability to link the experiences of your virtual child with course materials.

Interview with a Healthcare Leader

Part 1: You have been asked to Interview a healthcare leader. For this interview you will need to do the following:

Set up an interview by phone, in person, or via email.
Ask these three questions, and develop two of your own:
What leadership qualities do you think make healthcare leaders successful and which of these qualities support positive relationships with stakeholders?
What tools/education have you used to develop your leadership skills, and what impact did role models and behavior modeling play in your development?
How important is stakeholder engagement and a collaborative interdisciplinary culture in the overall delivery of healthcare services? Why is that?
Note: This interview report should be written in question and answer format; list the question and then give a synopsis of the answers given, using direct quotes when possible.
Part 2: Reflect on the Interview with the healthcare leader and based on that discussion explain some of the ways to establish a mutually beneficial relationship with stakeholders; and determine what behaviors – role modeling, right vs wrong conduct, etc. support effective stakeholder engagement.

Diabetes Mellitus in Saudi Arabia: Understanding the Epidemiology, Pathophysiology, Types, Risk Factors, Symptoms, Signs, and Prevention

 

Diabetes Mellitus (DM) is a common chronic disease in Saudi Arabia. Explain the epidemiology, pathophysiology, types, risk factors, symptoms, signs, and prevention of diabetes.

 

 

Tampa General Hospital Florida COVID-19 Response

 

Tampa General Hospital Florida COVID-19 Response
•    Discuss the prevalence in the Country (USA) and Compare to the state of Florida showing figures and graphs
•    Why was the pandemic of international concern
•    Who is affected and how are they affected
1.    Examples
2.    Stories
3.    Facts
Cause and Effect: What happened as a result of the pandemic, state response, and hospital response (Issues with testing)
•    Repercussions and complications of the Pandemic

Disaster Response After Action Report on Tampa General Hospital, Florida

 

Disaster Response after Action Report on Tampa General Hospital Florida
All disasters will impact healthcare operations at some level. Therefore, from the lens of a Healthcare Administrator CEO / COO overseeing the operations of the healthcare enterprise, located in the region or location of the natural disaster (COVID-19 Pandemic) with the advantage of a retrospective view of the disaster response, determine what went well, what were the challenges, and how could the response have been improved.

1. Cover Page
2. Abstract
3. Table of Contents
4. Introduction
5. Background:
6. Outline of a Disaster Response Plan for the chosen event (based on the original plan)
What went well with the response?
What were the challenges with the response?
What needs to be improved with the response?
7. Outline for a Continuity of Operations (COOP) Plan (expand on #6 based on the changing environment of the disaster). Make sure to describe the strategic approach to leadership and application of managerial functions.
•    What went well with the response?
•    What were the challenges with the response?
•    What needs to be improved with the response?
8. Disaster Response After Action Report: lessons learned (Make sure to describe the strategic approach to leadership and application of managerial functions).

Analysis of a Healthcare Organization’s Strategic Plan

Search the Internet for a healthcare organization’s strategic plan.  Examine and write a two-page analysis of it. Does it contain all of the components discussed in the materials discussed in Week 3? Did the organization involve its key stakeholders in the plan’s development?  Critique the strengths and weaknesses of the plan?
APA Citation and 3 references.

Business Plan for a Healthcare Clinic

Assume you are asked to develop a plan to provide more services in your current market, provide new services to your existing patients, or begin operations in a new market.  You will need to collect and analyze data on current utilization and the need for more services in the current and/or new markets to determine how many additional services could be produced, the additional revenues that will be earned, and the cost of additional labor supplies, equipment, and facilities.

A business plan is a document typically prepared to obtain funding and/or financing.

You will be using the four major elements: an executive summary, a description of the company or department, a marketing plan; and financial projections.

The overall business plan is built up as these individual segments are completed.

FINAL GROUP PROJECT DELIVERABLE INSTRUCTIONS:

For this group assignment, you will create a formal PowerPoint (PPT) about your fictional Healthcare Business.  You are preparing a presentation for your executive leadership team. The business plan must be related to the healthcare field (e.g., a doctor’s office, a home healthcare practice, a new hospital, etc.). This assignment is worth 200 points.

A business plan’s FINANCIAL PLAN includes a current and pro forma balance sheet, an income statement, and a cash flow analysis. It allows leaders to make appropriate resource allocations, handle unforeseen complications, and make efficient, logical, evidence-based decisions. Because it provides specific and organized information about your company and how you will repay borrowed money, a good business plan is a crucial part of any loan package. Additionally, it can inform sales personnel, suppliers and others about your operations and goals. Your business plan should precisely define your business and identify your goals. It serves as your company’s resume (see course text Chapter 25).

Use the following questions below as a template and answer all questions. This presentation requires correct grammar, punctuation, and APA format, including in-text citation and reference list. This assignment is worth 200 points and is a GROUP project (same grade for all group participants). Points are for thorough content, creativity in the formal PPT and correct use of APA format. You are required to have a minimum of three (3) references and your references must from any combination of refereed peer reviewed journal articles, textbooks, and or credible Internet sources.