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What is the effect of managed care programs on the affordable care act?
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- can anyone tell me what the overall role of healthcare financing is, focusing on the strategy of cost containment and how the delivery of healthcare has been impacted through the trend shift of fragmented care to managed care?A) What strategies would you employ to increase the access of the Primary Care ServiceLine? Describe your strategy and the intended outcomes.B) What communication plan would you create to inform the patients in the target populationabout the new program and 1 or 2 key messages on the benefits to the patients?C) What management techniques or processes would you use to get Dr. Chuck and theemergency medicine physicians to support the new Healthy Riverside program?As of the end of 2020, 38 states had expanded Medicaid based onthe recommendations and incentives in the Affordable Care Act and 12 states had not expanded Medicaid, among them our state of Texas. From the hospital and physician perspectives, what are the advantages and disadvantages of expansion? From the state’s perspective, what are the advantages and what are the disadvantages of expansion.
- What is the difference in the reimbursement cycle among long-term care facilities as compared to most other healthcare facilities?Discuss the different types of managed care plans. Compare and contrast HMO versus PPO. What are their pros and cons?What is predatory medical billing? Why is this a concern?
- How has the movement by Medicaid to managed care affected traditional safetynet providers?How does the rule of price transparency apply to federally owned or operated hospitals (such as a Department of Veterans Affairs hospital)?What are some positive and some negative reasons for a provider to participate in Medicaid?