The Next Steps for Accountable Care Organizations‚ Bundled Payments‚ and Health Reform The University of Texas at Dallas The American Health Care System HGMT 6320 The Next Steps for Accountable Care Organizations‚ Bundled Payments‚ and Health Reform With the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010‚ health care reform has become the law. The legislation will extend health care coverage to more citizens‚ stabilize health insurance markets‚ enhance
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Why were managed care organizations initially hesitant to use data mining applications? One of the biggest hesitations would have to be cost to build an implement such a system. The technique depends on an organization having "clean" data to analyze‚ which requires data being scrubbed and moved to data warehouses. Many payers lack the money and manpower to build and maintain these warehouses. (Kongstvedt‚ P.‚ Capagemini). In addition‚ internal politics and the numerous constituencies within a
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Types of Managed Health Care Plans and Other Insurers Managed care plans and other insurers: By better understanding the past and present of managed care plans and other insurers in the USA‚ we can make well-grounded statements about its challenges and proper ways of answering them; furthermore‚ having a health care plan can help to help improve your chances of getting medical treatment to control and reduce the risk of sickness and disease. Introduction Discussion I. History of health care
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Continuum of Care Outline Topic: Home Health Care I. Introduction II. Stakeholders A. The “description of the roles of various stakeholders in the health care industry who are involved in the continuum of care” (University of Phoenix‚ 2015). 1. Who the patients are. 2. Who the employees are. 3. Who the payers are. 4. Who the providers are. B. “How the component contributes to or detracts from the overall management of health care resources” (University of Phoenix‚ 2015). 1. Is this a positive
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From the past ‚Health care workers wear facing a very serious and sensitive problem while treating patient which is Medications Errors. Patient safety is characterized as opportunity from incidental harm because of medical care‚ or absence of medicinal blunders‚ or absence of abuse in administrations. Medical error is: "a failure in the therapeutic process that can possibly lead to harm to the patient"(1). It occurs when a health care provider selects improper technique in care or improperly executes
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history behind managed health care that started back in the late 19th century. The managed care plans were first organized during the 1920s but their origin is credited to non-profit organizations during the 1940s. The growth of the managed care was fairly slow when it first started until the health care costs begun to soar in the 1970s and 80s when employers begin to see managed care as an alternative to high-priced health care options. The increase in competition within the health care industry led
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Commonly managed care describes a continuum of arrangements that integrate the financing and delivery of health care. It encompasses many different arrangements with particular doctors‚ hospitals and other providers to deliver services that make up networks of health care plans. Most managed care organizations offer a wide array of benefit designs that include HMO products‚ preferred provider organizations‚ and direct access products that allow patients to self-refer to specialists. (Sekhri‚ 1997)
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In medicine‚ continuum of care refers to a system that follows patients over time as they go through different health services. Basically‚ it is a way of integrating different treatments over time. This type of treatment is often used in drug rehabs because addictions are extremely complex. To treat the addiction‚ many different programs are incorporated into the rehab’s process. What Is Continuum of Care? Addictions affect people in different ways. Some people have a co-occurring disorder like
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Concept Analysis of Effective Jennifer Jackson‚ R.N.‚ B.S.N. Webster University Walker & Avant’s methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes‚ particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are discussed followed by empirical referents‚ which aid in illuminating the concept of effectiveness. Assumedly
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Assignment 1-The Primary Care Clinic Tasha Hornsby Dr. Kevin Williams HSA 300-0001030 Health Service Organization Management January 26‚ 2011 Discuss the key political‚ economic‚ and social forces that may have influenced the development of the clinic. Economic and social conditions that affect people’s lives determine their health. People who are poor are less likely to seek proper medical care‚ as opposed to people who are of middle-class status and above. Citizens with more social
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