What improvements do you think is needed or what mechanisms or systems can you propose for health care delivery system in the following areas? Cite references from reliable sources. a. Programs and Services b. Policy

What improvements do you think is needed or what mechanisms or systems can you propose for health care delivery system in the following areas? Cite references from reliable sources. a. Programs and Services b. Policy

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter16: Tricare

Section: Chapter Questions

Problem 4R

See similar textbooks

Related questions

Q: Identify and describe the functions the different organization/agencies responsible for the…

A: Quality health care Quality health care consists of safe, effective, patient-centered, timely,…

Q: Hospitals and other health care institutions, whether voluntary or for-profit, need to be…

A: The health care institutions and their services demonstrate profit seeking behavior. The investors…

Q: What is long term reimbursement in health care

A: The annual study to set Medi-Cal rates for a range of long-term care providers is conducted by the…

Q: Describe the various sources of funding beyond third-party reimbursement from which the various…

A: The health facility is a location where healthcare is given. These range from small clinics and…

Q: What are the elements of a compliance program? Why is a compliance program essential in today's…

A: Compliance program- Simple meaning of compliance is to maintain or to adhere. Compliance program in…

Q: : (1) government programs, (2) individual health insurance, and (3) group (or employer) health…

A: Healthcare coverage is a reimbuesement for the health care cost or we can also define it as legal…

Q: What are some of the complications caused by our insurance system for individual consumers and…

A: Physician visits for acute care or diagnostic testing for symptomatic diseases are more likely to be…

Q: Under the ACA, describe a scenario of how medical providers and healthcare professionals work…

A: A healthcare system is a collection of interconnected, interacting, and interdependent accounts of…

Q: Explain why “Nurses are the backbone of health care”?

A: Nurses are involved in direct patient care, case management by following nursing practice, standards…

Q: From the hospital and physician perspectives, what are the advantages and disadvantages of…

A: Medicaid and Medicare The advantages of the expansion are longer windows of care coverage for the…

Q: what you think the challenges may be in the implementation of CQI in health care.

A: CQI refers to continuous quality improvement Continuous Quality Improvement (CQI) is a deliberate,…

Q: Discuss the different types of managed care plans.

A: Please post the second question separately as two are different questions according to our policy.…

Q: What is the importance of creating strong mission and vision statements for health care…

A: An organization is answerable to all of its stakeholders. The mission and vision of an organization…

Q: Describe the main characteristics of the Bismarck model of health care and its main pros and cons…

A: The Bismarck model is a health care system in which everyone compulsory to have health insurance by…

Q: Explain how technical and allocative inefficiency in health care firms affect the welfare of the…

A: HEALTH CARE- The prevention, diagnosis, treatment, improvement, or cure of disease, illness,…

Q: Is tracking the costs of every health care encounter and comparing one physician’s costs to other…

A: Tracking the costs of every health care encounter and comparing one physician’s costs to other…

Q: How is quality of healthcare data defined? In terms of accuracy, completeness, or relevance?

A: Health care data generally means consistency, accuracy, timelessness and precision.

Q: What information would you assemble for healthcare leadership in your organization to monitor…

A: Healthcare access is a big factor in determining the health of a population. If the access is…

Q: Using your own words, how would you define the term "value" in healthcare? When you thought of this…

A: Value based health care transformation aims at enabling the health care system to create more value…

Q: scribe What is the purpose of different organizations and administrations in hospitals? Why is it…

A: We know A hospital is a healthcare facility that provides specialized medical and nursing services…

Q: QUESTION 3 Match the term with the description An ACO (Accountable Care Organization) A provider led…

A: Health care delivery is the most important visible functioning of the health care system both for…

Q: Health Economics Identify & Define a Federal Hospital

A: There are many different types of hospital-based on : Different priority requirements of the…

Q: 3. Please identify some reasons why attempts at cost control have not succeeded. *The question in…

A: A health system, also known as a health care system or a healthcare system, is a collection of…

Q: how do NPs are going to manage patients when resources are limited

A: Nurse practitioners (NPs) are accredited according to the American Association of Nurse…

Q: How would you define the role of primary care from the perspectives of health promotion and health…

A: Primary care is the general requirement which is given to a patient when approached a clinic or on…

Q: Summarize three broad health-care plan design alternatives.

A: Traditional health insurance plans provide a way of covering the medical costs which incur during…

Q: Why is the health care manager's role in ensuring high performance so critical?

A: A manager is a person in an organization whose function of is to guide and lead a team. The leaders…

Q: What Is Your Evaluation of the Effectiveness of the U.S. Health Care System in the Context of…

A: KEY WORDS :- Health care system - This is a particular way of maintaining health of particular area…

Q: In a recent contract negotiation session between a group of physicians and a managed care health…

A: Any organized system of health care that attempted to reduce or eliminate services that system…

Q: The purpose of this exercise is to recognize and understand the subgroups that comprise a total…

A: ans -( 1) segment based on SYMPTOMS and risk fator Progression of chronic kidney disese At risk…

Q: ACO can either reduce costs, increase patient satisfaction, or improve health outcomes.

A: ACO stands for Accountable Care Organizations. The Medicare Shared Savings Program is part of this…

Q: What are the advantages and disadvantages of free health care?

A: The health care system is the organization that focuses on providing quality health care services to…

Q: What are health savings accounts (HSAs)? How might they reduce the overconsumption of health care…

A: A variety of care can be provided by Health Insurance and premiums for individual services may be…

Q: Which types of hospitals practice cost shifting and which ones does not.

A: The factor that causes the high cost of health care for employers and individuals is a process…

Q: The World Health Organization definition of health has received a lot of criticism over the years…

A: According to WHO Health is a state of complete physical, mental and social well-being and not merely…

Q: Discuss three ways that a managed care model supports the integration of care delivery across the…

A: A managed care organization (MCO) is a health insurance company that specializes in a managed care…

Q: What is the importance of a local health department and how they will assist public health…

A: INTRODUCTION- An effective public health system reflects the health of the country. To maintain the…

Q: Discuss the salient forces leading to the rise and fall of various types of managed health care…

A: Managed care plans are types of health insurance whose main objectives are to control the price and…

Q: Of the questions leaders should ask in a culture of quality, which is most effective to improving…

A: Introduction to topic

Q: Canadian health care system is facing challenges. List and describe 5 of these challenges.

A: Canadian health care system is the health care system in Canada which provides health facilities to…

Question

100%

What improvements do you think is needed or what mechanisms or systems can you propose
for health care delivery system in the following areas? Cite references from reliable sources.
a. Programs and Services
b. Policy

Expert Solution

This question has been solved!

Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.

SEE SOLUTION Check out a sample Q&A here

Step 1

VIEW

Step 2

VIEW

Step by step

Solved in 2 steps

SEE SOLUTION Check out a sample Q&A here

Knowledge Booster

Learn more about

Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.

Similar questions

Identify a patient care situation that requires research to resolve an issue or create an improved plan of care. In order to resolve the issue or provide recommendations for the steps that would need to be taken to research the problem, you must first identify which steps would be the same in the nursing process or the problem-solving process.
Consider the following scenario: the community assessment team you have been working with would like you to give a presentation at their next meeting about available options that can be considered for funding of your proposed program. Compare available options for funding a public health program and explain which would be best for your proposed program.
Which of the following evaluates hospitals for improvement and achievement regarding clinical processes of care and patient experience for Medicare recipients? OA. Hospital VBP Program B. Hospital Readmissions Reduction Program C. Institute for Healthcare Improvement Model for Improvement OD. National Quality Strategy (NQS)
a. Name and explain any four properties of health care services. b. What are the characteristics of services that make scheduling them difficult? c. Describe a customer-as-participant health service operation and give a practical example. d. Briefly explain and describe work-shift scheduling in health care service operations.
In your opinion, what role will ACOs play in the future environment of value-based health services delivery? Explain your answer by integrating an example of how an ACO can either reduce costs, increase patient satisfaction, or improve health outcomes.
Suggest an improvement project for your practice or healthcare organization that would improve patient safety or quality. What information would you like to have about your practice area that could be extracted using data mining strategies? 2. Briefly explain how you would design an improvement project that would utilize the data mined to improve a process or a patient outcome. 3. Before implementing the intervention(s) you've described in your improvement project, explain the importance of consulting with clinical experts. 4. Do you feel that it is ethical to mine data for improvement projects? Explain why or why not.
Suggest an improvement project for your practice or healthcare organization that would improve patient safety or quality. What information would you like to have about your practice area that could be extracted using data mining strategies? 2. Briefly explain how you would design an improvement project that would utilize the data mined to improve a process or a patient outcome. 3. Before implementing the intervention(s) you've described in your improvement project, explain the importance of consulting with clinical experts. 4. Do you feel that it is ethical to mine data for improvement projects? Explain why or why not. Solve for me full accurate all questions with answers good accurate need
Job embeddedness is an important factor in primary care. Which statements about job embeddedness are factual? Select all that apply. Group of answer choices A. Patients have a continuously rotating group of professionals to provide care. B. Job embeddedness is reflective of feelings of fitting into the current position. C. Team members feel they would experience a loss or sacrifice with a job change. D. Job opportunities are increased for professionals with job embeddedness. E. Healthcare providers feel a link with other professionals, teams, and groups.
. A hybrid of a health maintenance organization (HMO) and a preferred provider organization (PPO), n which individuals can also receive treatment outside the network but must pay a higher deductible, is called a a. point-of-service plan (POS) b. health hybrid organization (HHO) C. provider maintenance organization (PMO) d. health provider plan (HPP) tnss that might
1. Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? 2. The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. 3. Please identify some reasons why attempts at cost control have not succeeded. *The question in bold needs to be answered. If there is any outside resources used, please provide a link.
A nurse is providing a lecture on CAT to a group of patientsin a rehabilitation facility. Which teaching point should thenurse include?a. CAT is a safe intervention used to supplement traditionalcare.b. Many patients use CAT as outpatients, but do not wish tocontinue as inpatients. c. Many nurses are expanding their clinical practice by incor-porating CAT to meet the demands of patients. d. Most complementary and alternative therapies are rela-tively new and their efficacy has not been established.
Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeeded