Managed care organizations offer an institutional structure to help reduce the cost to an insurance company. Describe the cost-control mechanism used in the following MCO models: -HMO -PPO
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- List and discuss the risks to a healthcare organization in failing to allocate sufficient support and resources to a newly implemented healthcare information system or EMR.Create a table comparing the British, Chinese, and Canadian health care systems with respect to financing, availability, and costs of care. How do they compare with the system in the United States. Note:- Please avoid using ChatGPT and refrain from providing handwritten solutions; otherwise, I will definitely give a downvote. Also, be mindful of plagiarism. Answer completely and accurate answer. Rest assured, you will receive an upvote if the answer is accurate.As part of the policy development and administration process, many federal health agencies provide information and technical assistance to state and local agencies and nongovernmental organizations.A. TrueB. False
- Why are long term care providers subject to so much external control by government agencies? Provide examplesDiscuss the most common risks for a healthcare organization of your choice. How would you decide which risks are most/least important?Discuss current funding sources (e.g., PACE, TRICARE, SCHIP, Medicare, Medicaid, private insurance) and mechanisms (e.g., DRG, Cost-Plus, ICD-10) of healthcare financing and their importance. In transitioning to value-based care or value-based reimbursement what are the most significant challenges to providers and payors?
- Describe the differences between input and output in healthcare budgeting.Explain itDo you think NANDA-I, NOC & NIC are applicable to Nursing Documentation (conventional written or electronic) here in the Philippine Setting? Why or why not? If it needs improvements or changes to be more effective and applicable to Nursing Documentation, what would it be?Medicare ACOs and bundled payment programs/strategies rely on the use which of the following organizational structures: Question options: 1) Vertical Integration 2) Horizontal Integration 3) Physician Alignment 4) Vertical Integration and Physician Alignment 5) Horizontal Integration and Physician Alignment
- Scenario: The hospital is close to a military base, but it currently does not accept Tricare insurance. Is this a well-defined problem or an ill-defined problem, why?How risk management applies to slips trips and falls in healthcare, how risk management benefits a healthcare organization slips trips and falls, what is the overall necessity and importance of risk management in healthcare?The Centers for Medicare & Medicaid Services (CMS) is responsible for Accountable Care Organizations (ACOs). Describe one of the types of ACOs available to providers. Reply to at least two (2) classmates, with a minimum of 75 words each post. Why is it so important to accurately code diagnoses and procedures as this relates to the ACOs?