Explain the origins of managed care

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Reference no: EM131963207

Assignment

Topic: Reflection

Number of Pages: 1 (Double Spaced)
Number of sources: 2
Writing Style: APA
Type of document: Essay

Category: Healthcare VIP Support: N/A
Language Style: English (U.S.)

Order Instructions:

You are to write only 2 paragraphs. In the first paragraph, tell me what you learned from this class and how it will help you in your personal/professional life. In the second paragraph, explain how this course has allowed you to reflect on the Benedictine Hallmarks of Conversation: forming and transforming oneself. (https://www.ben.edu/center-for-mission-and-identity/upload/The-Ten-Hallmarks-of-Benedictine-Education.pdf)

The Business of Healthcare

Course Description

Explores current topics in the business of delivering health services in the U.S. including insurance, privacy of information, accountable care organizations, and financing structures.

Course Objectives

Upon successful completion of this course, each student will be able to:

-Explain the origins of Managed Care.

-Examine the current payer systems: Managed Care, Fee For Service insurance, Medicare, Medicaid.

-Compare and contrast the differing infrastructures within these business organizations.

-Apply your understanding of provider networks and utilization management when negotiating a managed care contract.

-Compute provider reimbursements using one or more reimbursement methodologies across various provider types.

-Contrast and compare different contracting and risk arrangements.

-Differentiate across the new dimensions in Health Care: Accountable Care Organizations, Health Insurance Exchanges, and Health Information Exchanges.

-Forecast transformations in the health care industry by utilizing Quality Initiatives, Meaningful Use, and Electronic Health Records.

-Analyze the significance of Privacy and HIPAA through a variety of health care settings.

-Analyze the objectives of the administrative simplification provisions.

Reference no: EM131963207

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