Healthcare financing systems

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Origins of U.S. healthcare financing systems • Employer-based health insurance remains the predominant source of health insurance for working Americans.• Payment for health services as a mosaic of government and private sources• While more than 21 million Americans gained health insurance due to the ACA and Medicaid expansion, millions remain uninsured• Effects of managed care on costs, quality, and access to health care; implications of financial risk-sharing

The financing of healthcare is an extremely complicated mechanism.  The combination of payors, fee schedules, private plans, state, and federal funding issues all make reimbursement for care difficult to monitor, predict and calculate.  Looking at the material above, what are the three issues you feel will need to be addressed within the next 5 years to address the issues related to reimbursement?  Support your response with experience and/or material. Cite as appropriate.

Main goals of the Affordable Care Act

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What are the two main goals of the Affordable Care Act?  How does the ACA attempt to change the way in which the United States promotes health (think prevention vs. treatment)?  Based on the major moral principles of utility, autonomy, and distributive justice, what would be your recommendation regarding the repeal of this law?

 

CDC guidelines on mask use

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The CDC guidelines on mask use and fully vaccinated people from Summer 2021 (e.g. at that time, face masks were not necessary for those who were fully vaccinated) rely heavily on the honor code.  How do the major moral principles relate to this topic?  Please choose 2 major moral principles and explore/discuss how they can be applied to those Summer 2021 guidelines.

 

Influence of cultures

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Analyze the influence of cultures, values, and perceptions on healthcare policy in the United State. 2. Describe 2 key lessons that you have learned from state or local health reform efforts. 2a. provide an analysis of how these lessons might inform health policy changes taking place at the federal level, if at all. 3. Identify 1 reform effort that is considered a benchmark at the local level that in some way reduces healthcare costs, improves quality, or increases access to healthcare. 4. Provide the ink to the article or Web site use in explanations with 7th a reference

Consultative decision-making

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Consultative decision-making is used when there is more time to make a decision on important issues and requires input from people who can (or sometimes cannot) be directly impacted by those decisions.  Most consultative leaders unavoidably make decisions to work within a team or teams for their thoughts before making crucial decisions.

Categories of strategy formulation

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There are five categories of strategy formulation available to utilize, and they are as follows:

  • Directional strategy
  • Adaptive strategy
  • Market entry strategy
  • Competitive strategy
  • Implementation strategy

To be effective, these strategies must be formulated in a specific order. Please address the following:

  • Why is it so important to formulate strategies in this specific order?
  • Provide an example of each category of strategy formulation for discussion.
  • Based on your perspective, is one type of strategy formulation more effective than another for an acute care hospital? Why or why not?

Essentials of managed health care

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Essentials of managed health care Course Revision Date: 08/2022 Unit Exam 3 This unit examination is open-book, does not require a proctor, and is not timed. This will allow you to proceed at your pace. It is recommended that you check your answers against the material in your textbook for accuracy before submitting your exam. Questions are randomized for each student to ensure test integrity. Question 20 Currently, most PCMHs rely on a physician and O A. medical social workers O B. physician assistants ey O C. clinical nurse practitioners O D. all of the above Challenge this question You can challenge up to 2 questions for this exam Previous Submit Exam Next Exam navigation

Nonpharmacologic treatment for pain

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CASE STUDY:
Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening. Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches.
Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. It was not until her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from the temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts.
In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days.
QUESTIONS:
What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain?
Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body?
Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?

Transcultural Assessment Model

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Use the Davidhizar Transcultural Assessment Model to assess the Hispanic ethnic group. You will identify factors that affect communication of the Hispanic ethnic group and barriers to provision of culturally competent healthcare. You will use your selected cultural assessment model to address the needs of the chosen ethnic group and include your role as a cultural broker to meet the multicultural needs of assigned ethnic group. Use review of the literature with at least 5 peer reviewed articles to support and inform your body of work. This assignment should demonstrate cultural competence, cultural sensitivity, and humility in providing culturally appropriate care.

Terms of achieving expected outcomes for the patients

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Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.