International Module 3 Health Care Consumer Plans Discussion

International Module 3 Health Care Consumer Plans Discussion

Table of Contents

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Instructions

International Module 3 Health Care Consumer Plans Discussion

Module 3 – Case

MANAGED CARE, ACCOUNTABLE CARE ORGANIZATIONS, HEALTH CARE CONSUMER PLANS/MODELS

Assignment Overview

There are various types of plans consumers can select. MCOs, HMOs, PPOs, POSs, or ACOs are the most common ones; however they all supply various benefits and drawbacks. Consumers (patients) have the right to choose the type of plan that best fits their needs. As a health care leader, it is vital that you understand the differences in these plans. In addition, in a health care environment where there are plenty of options for consumers (e.g., providers, medical offices, location, consumer plans etc.), ideally making the “choice” is left up to the consumer’s determination.

Case Assignment

For the Module 3 Case Assignment, conduct additional research as needed and complete the following:

Part 1 – Comparative Chart:

Prepare a detailed comparative chart (see example at the following source: https://philsblogspace.files.wordpress.com/2012/10/eco-chart.jpg?w=1400). In your comparative chart, evaluate and discuss the key features, differences, and disadvantages between MCOs, HMOs, PPOs, POSs, and ACOs.

Part 2 – Designed an Application (App):

In the world of technology, the “consumer choice” is often swayed by their research efforts or applications. In at least 2 pages, design an app to assist consumers with making a choice between the various consumer plans. Be creative and detailed about your application. Explain the contents of the application that you create and why you feel it would be beneficial to consumers.

In your scholarly paper, you should include an introduction and conclusion paragraph.

Assignment Expectations

Conduct additional research to gather sufficient information to justify/support your thoughts and analysis.

Limit your response to a maximum of 4 pages.

Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from: https://www.angelo.edu/services/library/handouts/peerrev.php

You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from: https://owl.english.purdue.edu/owl/resource/560/01/.

For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

Module 3 – Background

MANAGED CARE, ACCOUNTABLE CARE ORGANIZATIONS, HEALTH CARE CONSUMER PLANS/MODELS

Required Reading

Feeley, T. W. & Motha, S. N. (2018). New marketplace survey: Transiting payment models: Fee-for-service to value-based care. Retrieved from https://catalyst.nejm.org/transitioning-fee-for-service-value-based-care/

Haas, S. (n.d.). Health Reform Act: New models of care and delivery systems. Retrieved from https://www.aaacn.org/health-reform-act-new-models-care-and-delivery-systems

Plunkett, L. (2015). Accountable care organizations. New York State Dental Journal, 81(3), 4–7.

Shi, L., & Singh, D. A. (2017). Chapter 9 Managed care and integrated systems. In Essentials of the U.S. health care system (4th ed.). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library.

World Health Organization. (n.d.). Health care delivery models. Retrieved from https://www.who.int/hac/techguidance/tools/disrupted_sectors/module_07/en/index3.html

Wood, D. (2013). Providers getting creative with new healthcare delivery models. Retrieved from https://www.amnhealthcare.com/latest-healthcare-news/provider-getting-creative-new-healthcare-delivery-models/

Videos

Aetna. (2017). What’s the difference between an HMO, a POS, and a PPO? | Health care answers in 60 seconds. [Video file]. Retrieved from https://youtu.be/lvRetvxWjQY

Kaiser Health News. (2015). The ABC’s of ACO’s. Retrieved from https://youtu.be/oV5rxViCf9U

FAIR Health. (2017, November 1). Point of service (POS) (Part 4 of 8)—FAIRHealthConsumer.org [Video file]. Retrieved from https://www.youtube.com/watch?v=gm5eKYjcZbc

International Module 3 Health Care Consumer Plans Discussion

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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