Compare and contrast the traditional and new models and explain the motivation / reasons for the emerging models.

Reimbursement

You are the Associate Vice President for Education and Training for OtroRaza Health, the academic medical center and health system associated with Enormous State School of Medicine . The vice president of medical affairs comes to you concerned about the viability of the school’s residency programs. Several of ESSM’s residency site stakeholders are seeking clarification regarding new reimbursement models used by the system.

Prepare a 5 page white paper and references – for the VP of Medical Affairs to share with the residency sites — outlining the differences between the new reimbursement models and prior traditional models for stakeholders.

In the response include

Description of each model, such as capitated payments, fee-for-service, including new and emerging models being introduced to the industry, such as value-based, MACRA, and others.
Compare and contrast the traditional and new models and explain the motivation / reasons for the emerging models.
Describe what impact you perceive there would be on the cost, quality and access to patient care.

Support your research with peer-reviewed sources and/or market data. It is highly recommended to use professional charts / graphs to reinforce written content. Cite work accordingly. Ensure that your content and information is professional and can be followed by an executive audience.

This assignment will be submitted to Turnitin for plagiarism detection

Are we buying “health” in the USA healthcare system? If we are buying it, is health a human right? Or, is it service or good that privileged to have the assets to can buy? Explain and substantiate your answer.

Is Heath a Human Right or Not in the United States

Are we buying “health” in the USA healthcare system? If we are buying it, is health a human right? Or, is it service or good that privileged to have the assets to can buy? Explain and substantiate your answer.

Consider the definition of health by the World Health Organization when answering this question. Make sure to make a distinction between health and healthcare services.

Resources
Ridic, G., Gleason, S., & Ridic, O. Comparisons of Health Care Systems in the United States, Germany and Canada. Materia Sociomedica. 24(2): 112–120 doi: Retrieved from https://www.ncbi.nlm.nihhttps://www.ncbi.nlm.nih.gov
/pmc/articles/PMC3633404/.gov/pmc/articles/PMC3633404/

Coronado, L., Crosby, A., Rascano, T., Saechin, T., Salazar, L., & Taylor-Weber, T. . History and Development of the U.S. Health Care System. Retrieved from https://www.youtube.com/watch?v=nRFKCXvy3-g

HTV Networks (2010). History of Healthcare. Retrieved from https://www.youtube.com/watch?v=i2mpgwGRJyw (1:57)

Paine, R. (2013) An Overview of the History of Healthcare. Retrieved from https://www.youtube.com/watch?v=6RGpuO9F2nk (8:52)

Wahi, M (2013). Historical Overview of U.S. Health Care Delivery. Retrieved from https://www.youtube.com/watch?v=w31xY0Y87dE&t=17s (41:26)

Washington Health Plan Finder (2013). U.S. Healthcare: a Short History. Retrieved from https://www.youtube.com/watch?v=82NINDT45DE (2:09)

PNHP (1999). A Brief History: Universal Health Care Efforts in the US. Retrieved from http://www.pnhp.org/facts/a-brief-history-universal-health-care-efforts-in-the-us

US House of Representatives (2010). Compilation of Patient Protection and Affordable Care Act. Retrieved from http://housedocs.house.gov/energycommerce/ppacacon.pdf

Discuss which data sources belong to the national or Global Governance structure and why it is important in terms of the country profile.

DELIVERABLE: Write a Critical Analysis Report on the County’s Public Health Status, including “A” through “F” below.

1. Analysis: How health care funding and health care system performance affect the success of Public Health efforts. Are there other funding sources that could be used to negate the discussed Public Health issues? Offer examples.

2. Analysis: Discuss differences in top death and disability reasons and explain how Public Health programs and other funding contribute to combating them. Are the death and disability reasons interdependent with the county characteristics you chose to analyze?

3. Analysis: Discuss which data sources belong to the national or Global Governance structure and why it is important in terms of the country profile.

E. CONCLUSION(S)/SUMMARY: Write a conclusion about which source should be trusted the most and explain why. Conclude your critical analysis by restating your thesis, and making suggestions on the possible improvement of ideas, research, and appeals.

F. REFERENCE PAGES

ADDITIONAL CONSIDERATIONS FOR THE REPORT:
Use personally developed tables and bullet points , visual data representation  to deliver your conclusions and demonstrate points. If you use data from other resources, cite appropriately.

Paper formatted in APA 7.
Use about 5 credible sources to support your conclusions.
Title, References, and 5 page report with conclusion

Examine the basic methodologies via which both health care organizations and health care providers are paid for the goods and services they provide.

Health Insurance, Managed Care and Reimbursement Methodologies

We examine the basic methodologies via which both health care organizations and health care providers are paid for the goods and services they provide. On the institutional side, the main source of revenue for most healthcare organizations is from employer sponsored health insurance and government payers .

One would think that each insurance carrier and government health care payment system would follow the same basic methodologies. In reality, there are some areas of overlap, but there are many areas of difference as well.

This creates a requirement within the hospital setting to maintain oversight on each patient record to ensure the requirements for reimbursement are met so the organization can be properly reimbursed. However, regardless of payer, only a limited number of payment methods are currently used to reimburse for healthcare services.

Submit your completed assignment to the drop box below. check the Course Calendar for specific due dates.

The Case Manager
Module 03 Content

Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:
Facility name
Department
Position title
Classification
Position grade or level
Shift and/or days of the week
Reporting relationships
Summary statement
Responsibilities
Required competencies or position requirements
Physical requirements or working conditions
Date written
Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:
Case Management Society of America
American Case Management Association

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

Submit your completed assignment to the drop box below. check the Course Calendar for specific due dates.

Evaluate the relationship between quality-improvement projects and health care research.

In this assignment, you will apply your skill in quality improvement, which is necessary for you to implement the policies and processes to fulfill the purpose of the organization you work in as a health care administrator.

Evaluate the relationship between quality-improvement projects and health care research. You will choose a peer-reviewed article about a research study and evaluate the application of risk- and quality-management concepts in the health care industry in this assignment.

Describe and explain why the USA health system is considered to be neither a centralized or de-centralized system and what is the impact of healthcare reform of the combined federal state responsibility with substantial federal oversight and funding, imbued with state innovation and implementation.

Thank you for helping me during a difficult time in my life.

The two questions to be answered are as follows and must include examples.

1.Describe and explain why the USA health system is considered to be neither a centralized or de-centralized system and what is the impact of healthcare reform of the combined federal state responsibility with substantial federal oversight and funding, imbued with state innovation and implementation.

2. What are the functions of the Agency of Healthcare Research and Quality and how can its nationwide and worldwide mission mandates influence healthcare reform?

ESSENTIAL TO INCORPORATE information from this text: Weissert, W. G. Weissert, C. S. (2019). Governing health: The politics of health policy (5th ed.). Baltimore, MD: Johns Hopkins University Press. ISBN-9781421428949 2

ALSO ESSENTIAL TO RELATE TO Saint Leo University core value of community and include resource.

Drawing on assigned readings from above text plus at least five references.
At least (3) peer reviewed references, with at least one (1) recent, and at least two other references, in addition to the text, please respond to the following essay prompt in about 5 pages.

How are you going to communicate the service you plan to market? Where do you plan on marketing? Provide some information on your Marketing Mix found on pages 558 and 559.

How are you going to communicate the service you plan to market? Where do you plan on marketing? Provide some information on your Marketing Mix found on pages 558 and 559.

2nd question: Describe the customer relationship management process. Is the process effective? What are the main reasons why consumers choose to leave a healthcare organization? How do you know? As a manager, what recommendations would you offer to improve consumer loyalty?

Provide a brief overview of your competition. Who/What is your competition? What influence does your competition have on pricing or providing service? What should you be prepared for?

Conduct some business intelligence for your marketing plan this week. Provide a brief overview of your competition. Who/What is your competition? What influence does your competition have on pricing or providing service? What should you be prepared for? Review the Competitive Analysis on page 556 of your textbook.
here is the website of the company I am basing my hypothetical project on just incase you need it
https://www.belimed.com/en-us

Develop a standard operating procedure for the protection of your patients’ protected health information.

Standard Operating Procedure (SOP)

Thank you for helping me while am experiencing life issues.
Develop a standard operating procedure for the protection of your patients’ protected health information.
Include an introduction describing how you developed the SOP
Must incorporate pertinent information pertaining to the above topic from this text:
Morrison, E. and Furlong, E. Health care ethics: Critical issues for the 21st century . Burlington, MA: Jones and Bartlett Publishers. ISBN: 9781284124910:
Write a paper approximately 3 pages in length.
The title page, introduction, conclusion, citations and reference page need to be APA format.
Research an standard operating procedure format for the body of the paper.
At least one RECENT peer reviewed journal article or report reference and one other reference in addition to the text above.