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What impact has technology had on the delivery of care under the managed healthcare model? What changes do you see in the future?
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What are the four central issues driving current federal health policy? Which do you believe is more important?
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The Institute of Medicine’s committee on the Quality of Health Care has six proposed areas for improvement in the healthcare system: safe, effective, patient centered, timely, efficient, and equitable. Select one of these areas and discuss why it was selected and identify its intended outcome.
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Discuss the link between legal issues, regulatory oversight, and quality improvement. Has regulatory oversight improved quality? If so, how? If not, why? Discuss types of MCO organizations.
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(TCO F) Which of the following payment policies addresses the issue of selection bias among Medicare risk plans?
(TCO F) Which of the following standardized measures for quality of care is commonly used for managed care and Medicare programs?
(TCO F) Which of the following represents the largest group of persons in the Medicaid program?
(TCO F) Outcomes of the TRICARE program suggest that _____.
(TCO F) Which of the following has been adopted as the new quality initiative within the military health system?
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The evolution of Medicare over the last 40 years has been significant. Discuss the current economic and access challenges that current enrollees of Medicare must navigate.
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Discuss the evolution of Medicaid from its inception to present. Discuss some of the reasons behind the decision of many states to use managed care models of delivery for the recipients of Medicaid.
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Explain the purpose of claims and benefits administration within a managed-care organization.
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Think about the numerous healthcare trends that are affecting employers. Which trends do you feel have the greatest impact on an employer and why? In your response, you may want to consider the size of the employer.
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