The Affordable Care Act also encourages the development of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs). Explain how the PCMH and ACO models could lower health production costs via technological change.
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13.
The Affordable Care Act also encourages the development of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs). Explain how the PCMH and ACO models could lower health production costs via technological change.
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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.7. Prior to the 2010 Affordable Care Act (ACA), what requirements did the Internal Revenue Service (IRS) impose on tax-exempt hospitals as a condition of maintaining their tax-exempt status A. Provide charity care in the amount that was equal to or greater than the value of the hospital's tax-exempt status B. Provide all of its services to all residents of the community who are unable to pay for their care C. Provide charity care in an amount that was equal to or greater than 3 percent of the hospital's gross revenues in each calendar year D None of the above 8. When a court interprets the meaning of a statute. what is the responsibility of the court? A. To determine the best social policy for addressing the problem raised by the case before court B. To determine and carry out the intent of the legislature that enacted the statute C. To decide the case in accordance with prior decisions of the common lav D. All of the aboveManaged 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…
- 1. Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? 2. The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. 3. Please identify some reasons why attempts at cost control have not succeeded. *The question in bold needs to be answered. If there is any outside resources used, please provide a link.1. Describe how the providers can get reimbursed for their services with this financing/payment system &from the provider perspective, what does this mean in terms of incentives and utilization/ordering of services? a. physician fee-for-service b. prospective payment c. HMO capitationDiscuss quality measures established by governing bodies and data sources that help improve patient outcomes and reduction in cost. Provide examples to support your discussion. Preventive care Readmission rates how preventive care could be a win-win situation for both patients and health care organizations ?
- . A hybrid of a health maintenance organization (HMO) and a preferred provider organization (PPO), n which individuals can also receive treatment outside the network but must pay a higher deductible, is called a a. point-of-service plan (POS) b. health hybrid organization (HHO) C. provider maintenance organization (PMO) d. health provider plan (HPP) tnss that mightWhat is the effect of managed care programs on the affordable care act?1. Based on research, community health workers have demonstrated their effectiveness in positively impacting patient health, Examples of research indicate that CHWs: a. Are successful in rural community at reducing negative health outcomes b. have provided cost savings for healthcare c. are an intervention opportunity for chronic disease management d. Are wonderful people to work with. 2. When a community health worker addresses the root causes of health disparities such as poverty, racism, and discrimination, and works to overcome the barriers that prevent individuals and communities from achieving their best possible health outcomes. This is an example of a. Striving to meet the needs of your community b. Striving to be a medical professional c. Striving for health equity
- &5.Suppose You are looking for ways to better meet your patients' needs and to generate new income for your facility. How might you utilize complementary and alternative medicine (CAM) services to help your patients and your hospital.#Nursing practice 5.. "Adverse selection"as applied to health insurance, means: Group of answer choices the practice by the healthcare insurers to deny coverage to people with pre-existing conditions. those who are more likely to require health insurance purchase the insurance while young and healthy people who are less likely to need the insurance opt out. people make poor choices of healthcare insurance programs because they don't have sufficient information. those who are more likely to require health insurance in the future are adversely impacted by the fact that health insurer does not have as much information about their healthcare needs as they do..What are some of the complications caused by our insurance system for individual consumers and providers of care? Discuss some new approaches that could have promising new changes in our health system, resulting in more efficient care.
