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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?Explain at least three major challenges facing the management of health service systems in a developing country of your choice.Discuss the salient forces leading to the rise and fall of various types of managed health care plans. Speculate on how current and future forces might lead to further changes
- Describe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefitDescribe at least two effective, alternative ways to control rising healthcare costsWhen considering cost-reduction initiatives in healthcare,what are the services with the greatest potential to reduce costs?
- Propose the essential use of health indicators for evaluating the health financing system taking into consideration the universal health coverageDiscuss 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?Describe the changes in Healthcare finance since 1950 and how these changes affected Healthcare delivery
- Describe an innovative idea you have been entertaining in wound care. Include what grants you could write and the potential outcomes of the idea. Include how entrepreneurship drives successful healthcare innovation and financial implications of the plan.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?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).