HCDS the interaction of the major components of the U.S. healthcare system

HCDS the interaction of the major components of the U.S. healthcare system

HCDS the interaction of the major components of the U.S. healthcare system

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Paper instructions: For the first 4 pages of the paper: Include at least 2 references from the provided list below¦add a total of 4-6 references for the first 4 pages: THESE references should be peer-reviewed and scholarly. Having completed the assigned readings, you should now have a basic understanding of the characteristics and components of the U.S. healthcare delivery system. For first half of paper, conduct additional research as needed and prep a 4 page paper to address the following questions: USE SUB HEADINGS Discuss the interaction of the major components of the U.S. healthcare system on (1) Access to Healthcare (physically and financially), (2) Healthcare Expenditure, and (3) Quality of Care. Answer the questions from the perspective of two of the internal factors and one of the external factors identified in the module Home page. Case Assignment Format Cite all sources and provide a reference list at the end of the paper (include at least three references). The paper should be 4 pages typed APA format. For the second half of the paper ( 4 pages) Explain the type of health insurance coverage you currently have (you do not need to provide the name of your insurance company): Insurance Product (e.g., HMO, PPO, POS, Indemnity, or others). Source (employer, government, parents, or others). Out-of-pocket costs: co-payments and deductibles. Level of coverage (e.g., 100% coverage or 80% coverage with 20% coinsurance). Major limitations on choice of providers. (a) Are you required to choose a primary care physician? (b) Are there limitations on use of out-of-network providers? (Refer to your insurance handbook or website and include details.) Explain the process of seeking healthcare (starting from making an appointment to receiving all the required services) under your health plan for the following scenarios: You need to have your annual physical examination. You need to see a specialist (e.g., ophthalmologist, neurologist, or orthopedic surgeon). You need to be admitted to the hospital for elective surgery (non-emergency). Include at least 2 references from the provided list below¦add a total of 4-6 references for the first 4 pages: THESE references should be peer-reviewed and scholarly. Required Reading Review the reading materials in the order listed below: Pitts, S., Carrier, E., Rich, E., & Kellermann, A. (2010). Where Americans Get Acute Care: Increasingly, It’s Not at Their Doctor’s Office. Health Affairs, 29 (9), 1620-1629. Retrieved from ProQuest on 11/21/2012. Thorpe, K. E. & Ogden, L. L. (2010). The Foundation that Health Reform Lays for Improved Payment, Care Coordination, and Prevention. Health Affairs, 29 (6), 1183-1187. Retrieved from ProQuest on 11/21/2012. The Commonwealth Fund Commission on a High Performance Health System. (2009) Executive Summary: The Path to a High Performance U.S. Health System: A 2020 Vision and the Policies to Pave the Way. The Commonwealth Fund. Available at %20System/1238_Commission_Path_Exec_Summ_21909.pdf (Retrieved 11/21/2012) Brown, R. (2009). Strategies for Reining in Medicare Spending through Delivery System Reforms: Assessing the Evidence and Opportunities. Kaiser Family Foundation. Available at (Retrieved 11/21/2012) Bohmer, R. & Lee, T. (2009). The Shifting Mission of Health Care Delivery Organizations. The New England Journal of Medicine, 361 (6), 551-553. Retrieved from ProQuest on 11/21/2012. McCarthy, D. & Mueller, K. (2009). Organizing for Higher Performance: Case Studies of Organized Delivery Systems. The Commonwealth Fund. Available at (Retrieved 11/21/2012) Shi, L., Lebrun, L. & Tsai, J. (2008) Reforming U.S. Healthcare Delivery. Harvard Health Policy Review, 9 (1), 68-77. Available at: center/Publications_PDFs/2008%20HHPR%20p68.pdf (Retrieved 11/21/2012) Privacy Policy | Contact