How do you think ACA repeal would impact healthcare in your state as well as healthcare jobs in your state?
Link to podcast:
https://www.commonwealthfund.org/publications/podcast/2017/feb/financial-consequences-aca-repeal
Discuss and further elaborate on the consequences of ACA repeal that were discussed in the podcast.
2. How do you think ACA repeal would impact healthcare in your state as well as healthcare jobs in your state?
3. How would this repeal affect Medicaid coverage?
4. How would this repeal affect Medicare beneficiaries?
5. How would this repeal affect the uninsured?
6. How would this affect patients with otherwise protected pre-existing conditions?
7. What role should the government play in providing Americans with health care? What role should the marketplace play?
HMGT420 Healthcare Facilities Management
Assignment 2
Paper:
Select one of the quality topics in healthcare from the list below. Prepare a summary document using the table format below (be sure your assignment is submitted in a table). The table should be single spaced and no more than 3-4 pages in length (11 to 12 point font). Except in the case of titles, use complete sentences, i.e., write using narrative format. Include a cover page and a list of references (this is separate from the summary pages).
Select from the following quality topics. NOTE: If there is another related topic that you would like to write on, please get approval from Prof. Powell.
1. Medical Errors
2. Quality and Disparities
3. Patient Safety
4. Quality/Core Measures
5. Value-based Purchasing
6. Pay for Performance (P4P)
7. COVID-19’s Impact on Quality
HMGT420 Healthcare Facilities Management
Assignment 3
Group Project: Meaningful Use Justification.
Your Instructor will assign you to a group of three or four students during week 2 of the course. The groups will organize themselves and work together to identify the relevant agencies (at least two or three) that will impact meaningful use of electronic records and quality in hospitals. The group will research and list the key regulations concerned with meaningful use compliance and reimbursement. One power point presentation will be submitted by each group. Please select one group member to submit the assignment on behalf of the team. It is expected that this assignment can be completed in 5–7 slides (this includes the cover slide and reference slide). The Power Point will account for 17.0% of the each student’s final grade. A peer assessment will also be required and will be submitted by each member of the group at the same time that the presentation is due. The peer assessment will account for 3% of the student’s final grade or 15% of the grade for the project.
Useful Websites:
http://www.healthit.gov/
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Basics.html
HMGT420 Healthcare Facilities Management
Assignment 4
In 2–3 pages (excluding cover and reference pages), list seven different types of ambulatory care settings and describe what they do (how they operate), why ambulatory care makes sense in today’s healthcare environment, and compare and contrast free-standing versus hospital-based settings. This paper should be written in narrative form in the proper APA format. Be sure to include an introduction and conclusion in your paper.
HMGT420 Healthcare Facilities Management
Assignment 5
Assume you are a Maryland resident and Medicaid recipient looking to enroll in a managed care plan, review the Maryland Managed Care Website(s) at: https://mmcp.health.maryland.gov/healthchoice/Pages/HealthChoice-Enrollment.aspx
https://mmcp.health.maryland.gov/healthchoice/pages/home.aspx
Assess and evaluate HealthChoice, Maryland’s statewide mandatory managed care program based on the following evaluation criteria. Please choose one (1) of the MCO’s under HealthChoice to evaluate (e.g., Maryland Physician’s Care).
Using the table format below, answer the questions (using a narrative format) in each section that appear in bold type. Please be sure to include a reference page.
HGMT 420 Assignment #5
Student Name:
Type your name here
Assignment #5 Title
HealthChoice/Maryland Managed Care Plan
Benefits Offered and Services Covered
You want a plan that offers a comprehensive benefits package including preventive care as well as treatment programs for chronic disease management. Also, you may need emergency care and/or care away from home. What questions would you ask to determine the benefits and covered services offered? Evaluate the HealthChoice plan and summarize your findings.
Cost vs. Benefits
Managed care plans vary widely in the cost of services offered. It may be tempting to base your selection primarily on the periodic, out-of-pocket costs to you. You can’t be sure that the least expensive plan will give you all the medical services you need. Review cost vs. benefits for the HealthChoice plan carefully and summarize your findings.
Services of the Primary Care Physician
Choosing your primary care physician (PCP) may be the most important decision you make when enrolling in a managed care plan. The following questions are important when choosing your plan: Please answer each question.
Can you choose more than one PCP for your family?
Is there a large choice of primary care doctors and specialists?
How long is the average wait to get an appointment with the chosen PCP?
Can you see the same doctor consistently?
When and how can you change doctors if you are dissatisfied
How does HealthChoice measure up?
Prescription Drug Benefits
When evaluating a health plan it is very important to know what kind of prescription drug benefits the plan offers. Depending upon the plan, there are several systems that have been implemented in efforts to control costs. Some plans offer a “generic only” plan. What prescription drug benefits does HealthChoice offer? Are they beneficial to your current drug regimen?
Provider Network and Geographic Service Area
Be sure you inquire from the Provider Membership Directory which providers are included in the network and where they are located in your community. If you live in one community and work in another; determine if routine care can be received in either location. Does HealthChoice have a strong network of Providers in a geographic area that is amenable to you? Must you go to different locations for different services? If you have a child away at school, does the network extend to that area?
Commitment to Quality of Care and Service
What measures of quality care and satisfaction of service are available? It is worthwhile to find out if the plan has been accredited by the National Committee for Quality Assurance (NCQA). NCQA is the most common accrediting body for network plans. Review and report on what measures of quality care and satisfaction are available for HealthChoice.
Customer Satisfaction
How do enrolled members feel about the plan? There are various objective forms of measurement used to determine “quality services” given by managed care plans such as accreditation, HMO report cards and/or publications produced by the industry. You would be wise to look at any that measure customer satisfaction. The National Committee for Quality Assurance (NCQA) mission is to provide information that enables purchasers and consumers of managed health care to compare plans based on quality. Their web site may be reached at http://www.ncqa.org/
Limitations, Maximums, or Exclusions
Lifetime Cap refers to the maximum dollar amount of benefits available to a consumer in a managed care plan during his or her lifetime. This amount becomes important when confronted with a life-threatening disease or accident that requires prolonged care involving expensive therapeutic intervention and support. Does HealthChoice outline limitations, maximums, or exclusions?
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