Project Assignment: Managed Care- Current Trends and Issues in Managed Care
Length: 5 pages.
Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn't have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence.
You are required to write an essay on the following topics:
i. Managed care hospital reimbursement
ii. Managed care provider reimbursement
Using the Online library (e.g. CINAHL) or the Internet, review at least two articles for each topic and write a review for each source of information. Use the following guidelines for developing your essay: Use at least 3 credible resources for the assignment, including at least 1 scholarly peer-reviewed resource.
i. Write a summary for each topic tying together the information learned about that topic.
ii. Analyze the market forces that would favor using one reimbursement method over another.
iii. Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.
iv. Evaluate the advantages and disadvantages of the payment methodologies reviewed from the provider and hospital point of view.
v. Evaluate new payment methodologies resulting from the Patient Protection and Affordable Care Act (PPACA) and discuss future changes in reimbursement methodologies.
vi. Compare and contrast each article to the information discussed in the course textbook.
Format your assignment according to the following formatting requirements:
i) The answer should be typed, using Times New Roman font (size 12), double spaced, with one-inch margins on all sides.
ii) The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
iii) Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.