Discussion 1, 2 and Assignment 1,2

Week 2 Discussion Question 1
Capitation vs. Fee-for-Service Models

Discuss the differences between Capitation and Fee-For-Service models that compensate physician services.  Include a detailed account of the benefits and risks of having these physician compensations types and what is your recommendation for one vs. the other? Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years.  All sources must me documented in APA style, as outlined in the Ashford Writing Center.

Week 2 Discussion Question 2

Pay-for-Performance Impacts

How does Pay-for-Performance impact the patients, providers, practitioners and hospitals in regards to overall managed care and quality?  Are there incentives, risks, or common components found? In your post, incorporate two examples from real life. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years, to support the ideas you express in your post

Week 2 Assignment 1

Comparison Paper
Comparing two insurance companies that offer managed care plans – Health Maintenance Organization (H.M.O.), Preferred Provider Organization (P.P.O.), or Point of Service (P.O.S.).  Your comparison should include the following:

a.   What are the similarities in what they offer?
b.   What are the differences in what they offer?
c.   What are the member/patient incentives?
d.   What are the innovations promoted?
e.   What are the facilities and patient satisfaction practices?
f.   Discuss provider incentives.
g.   What is your preferred/recommended choice of insurance company? Provide specific details to support your recommendation.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.  Utilize a minimum of four scholarly and/or peer-reviewed sources that were published within the last five years. All sources must be documented in APA style, as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

Week 2 Assignment 2

Paper Proposal and Annotated Bibliography

This assignment is designed to guide you as you start your research for the Final Paper.  Review the criteria for your Final Paper.  Then, use the following guide as you write your proposal and bibliography:

I.   Paper Proposal: For the Final Paper, you are to choose a topic related to the future of managed health care delivery.  Describe the topic that you will be covering.  Explain why you chose it and how it relates to the future of managed health care delivery systems.

II.   Annotated Bibliography:  Provide an annotated bibliography of at least five of the required eight to ten scholarly sources you will be using to write your Final Paper.  An annotated bibliography for this purpose is one that is in APA format and is followed by a brief description of how the resources are relevant to the topic of your paper.

Your Assignment:

  1. Must be three- to- five pages in length and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must have a cover page that includes:
    1. Title of paper
    2. Student’s name
    3. Course name and number
    4. Instructor’s name
    5. Date submitted
  3. Must have a Paper Proposal of one-to- two pages in length.
  4. Must have an Annotated Bibliography of one- to- two pages in length.
  5. Must document all sources in APA style, as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

 

 

 

 

 

preview of the answer..

The two main means of compensating health providers for their services are capitation and fee-for-services models. Fee-for-services models involve compensating the health providers an established amount for each service provided to an individual. Conversely, capitation is a population-based payment approach where health providers are paid a set amount for a period based on the number of patients associated with the health provider.

The benefits of implementing the fee-for-services is that the health providers can efficiently budget how much the organization can make in a day basing on the number of …

2799 words APA

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