can anyone tell me what the overall role of healthcare financing is, focusing on the strategy of cost containment and how the delivery of healthcare has been impacted through the trend shift of fragmented care to managed care?
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can anyone tell me what the overall role of healthcare financing is, focusing on the strategy of cost containment and how the delivery of healthcare has been impacted through the trend shift of fragmented care to managed care?
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- As of the end of 2020, 38 states had expanded Medicaid based onthe recommendations and incentives in the Affordable Care Act and 12 states had not expanded Medicaid, among them our state of Texas. From the hospital and physician perspectives, what are the advantages and disadvantages of expansion? From the state’s perspective, what are the advantages and what are the disadvantages of expansion.Discuss current funding sources (e.g., PACE, TRICARE, SCHIP, Medicare, Medicaid, private insurance) and mechanisms (e.g., DRG, Cost-Plus, ICD-10) of healthcare financing and their importance. In transitioning to value-based care or value-based reimbursement what are the most significant challenges to providers and payors?Are safety-net hospitals sustainable in the long term, given the evolving landscape of healthcare delivery and financing? What innovative approaches can be adopted to ensure their continued existence and ability to provide quality care?
- Healthcare administrators should be well versed on policies affecting healthcare financing at the federal and state levels. Healthcare organizations need to assess the financial impact that a volume-to-value transition (VVT) will cause to their facility, the staff, and the patients. Who benefits from moving healthcare from volume to value? What are the factors a healthcare administrator must take into consideration when deciding to transition to a volume-to-value model? How are the financial impacts HCOs face who are currently using this model?Managed care has had an impact on the healthcare industry since its inception. It introduced different managed care models as well as different payment systems. More directly, managed care has changed patient and provider behavior in terms of what they can and can’t do. Healthcare providers have been directly impacted in the way they are reimbursed and the factors that lead to maximum reimbursement. Conduct research on how the role of the physician has changed with the advent of managed care. Write a 4-5-page paper that addresses the following: Explain how managed care has changed the healthcare landscape. Discuss how managed care impacts provider reimbursement. Describe how the relationship between physician and patient has changed through managed care. Explain whether, in your opinion, the new focus on healthcare outcomes is better or worse. Discuss who benefits from the new reimbursement approach. Describe the relationship between first, second, and third-party in a managed care…Poverty and inequality play a major role in healthcare outcomes as well as increase overall healthcare costs. Please take a look at the different programs that exist in our country that are meant to promote better health outcomes for the poor. This includes topics such as WIC and SNAP, as well as hospital investment programs that support low-income families. This should include discussion on EITC (Earned Income Tax credit), CHIP and Medicaid. For Medicaid, take a look at what Medicaid expansion could do for Texas in terms of improving care for the poor as well as funding for Texas as state.
- Explain the relationship between meaningful use and health care reimbursement; in particular the influence meaningful use has had on transforming how physicians and organizations are reimbursed by the Centers for Medicare & Medicaid Services (CMS).A) What strategies would you employ to increase the access of the Primary Care ServiceLine? Describe your strategy and the intended outcomes.B) What communication plan would you create to inform the patients in the target populationabout the new program and 1 or 2 key messages on the benefits to the patients?C) What management techniques or processes would you use to get Dr. Chuck and theemergency medicine physicians to support the new Healthy Riverside program?1)After diabetes where might remote patient monitoring focus next? 2)Why does cybersecurity continue to be a problem in healthcare? 3)What besides a cyberattack makes disaster recovery important in healthcare? 4)Define big data and give an example of how it might be used in healthcare. 5)Identify ways that data can be used in healthcare to improve patient relations. 6) How has HIPAA changed since HITECH was implemented and meaningful use has been implemented?
