Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.

Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn’t have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence.

This week, you are required to write an essay on the following topics:

  • Managed care hospital reimbursement
  • Managed care provider reimbursement

Using South University Online library (e.g. CINAHL) or the Internet, review at least two articles for each topic and write a review for each source of information. Use the following guidelines for developing your essay:

  • Write a summary for each topic tying together the information learned about that topic.
  • Analyze the market forces that would favor using one reimbursement method over another.
  • Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.
  • Evaluate the advantages and disadvantages of the payment methodologies reviewed from the provider and hospital point of view.
  • Evaluate new payment methodologies resulting from the Patient Protection and Affordable Care Act (PPACA) and discuss future changes in reimbursement methodologies.
  • Compare and contrast each article to the information discussed in the course textbook.

Based on your understanding, create a 3 page essay

NO PLAGIARSM…….assignmant will be check by TURNITIN…

Discuss, with examples, at least four (4) substantive ways in which a healthy population strengthens the economy of the country that you have selected.

Use the Internet to research one (1) developing nation of your choice. Your research should include an examination of lending institutions, health care, and human capital, as well as the material covered by the Webtext and lectures in Weeks 6 through 9.

Write at least a three page research paper in which you:

 

  1. Explore whether or not funding from international lending institutions like the World Bank and the IMF are helping or hindering the social, economic, or political development of the country that you have selected. Support your response with examples.
  2. Discuss, with examples, at least four (4) substantive ways in which a healthy population strengthens the economy of the country that you have selected.
  3. Ascertain the degree to which the leadership of your chosen country has used foreign aid to improve its health care system. Support your response with concrete examples.
  4. Use at least five quality academic resources in this assignment. Note: Wikipedia, blogs, encyclopedias, dictionaries and other nonacademic material do not qualify as academic resources. Approval of resources is at the instructor’s discretion.

 

 

 

  1. When referencing the selected resources, please use the following format:

 

 

  1. Your assignment must follow these formatting requirements:

 

    • Contain no abstract and be at least three pages of written text in length, excluding tables and graphs.

 

 

 

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

     

 

  1. The specific course learning outcomes associated with this assignment are:

 

  • Determine how human capital is used and what effect gender disparity has on these decisions.
  • Determine what role health plays in developing economies.
  • Examine the role that the International Monetary Fund and World Bank play in transfers and the conditions they set to effect this funding.
  • Use technology and information resources to research issues in sociology of developing countries.
  • Write clearly and concisely about sociology of developing countries using proper writing mechanics.

     

Analyze the relationships among the three quality principles.

There are three principles of total quality: customer focus, continuous improvement, and teamwork. Find three articles that describe current practices in healthcare organizations. Each article should illustrate one principle of total quality. Refer to professional journals such as Modern Healthcare, Provider Magazine, and Nursing Homes. Write a paper based on your review of the articles. Include the following in the paper:

  • Describe each quality principle and show how it is illustrated in the article.
  • Analyze the relationships among the three quality principles.
  • Examine whether the principle in one example might apply to other examples.

Submission Details:

  • Present your analysis as a 5-page report in a Microsoft Word document formatted in APA style.
  • On a separate page, cite all sources using APA format.

Cite sources less than  five years old

Explain the importance of situating a society’s cultural and artistic expressions within a historical context.

 

Choose one (1) of the topics below and develop a three to four (3-4) paragraph essay (of at least 250-500 words) which adequately address the topic you have chosen.

 

Topic Choices

 

  • There have been many theories regarding how the pyramids at Giza were constructed. Most experts agree that they were constructed as burial monuments for pharaohs, but “how” these ancient people constructed monuments of such great size without modern machinery is a mystery which is still being debated.
  • No one can say for certain what happened to the great urban Mayan civilization, but theories abound and include varied possible alternatives to explain the relatively abrupt and mysterious disappearance of the Mayan civilization.
  • Tutankhamen died young, at approximately eighteen (18) years of age. However, his cause of death has been the subject of quite varied scholarly theories and conclusions. Did he die of an injury, of illness, of murder, or something else?.
  • Minoan Crete was a major civilization in its time, but several theories have been advanced to explain its demise, including speculations associating it with mythical Atlantis. What were the causes of Minoan Civilization’s decline?
  • Great Zimbabwe is an enormous complex of structures in East Africa. Since the builders and occupants left no written records, several theories have developed as to the identity of its builders and the functions of the structures. Which theory makes the most sense?
  • The monumental size and complexity of the Tomb of Shihuangdi is astounding, yet its location and construction details were to be kept secret. What was the emperor’s purpose for such an elaborate, secret burial place?
  • Other topic choice recommended and approved by the professor and supported by the grading rubric.

 

Write a three to four (3-4) paragraph paper in which you:

 

  1. Clearly state the “mystery” and provide a brief summary of at least two (2) reasonable and scholarly theories which could explain the mystery. Because some theories may sound far-fetched, include the source or promoter of each theory – such as a scientist, a historian, a theologian, etc.
  2. After summarizing at least two (2) scholarly theories, identify one (1) of the theories as the most plausible and provide at least two (2) convincing reasons why the theory you have chosen is the best one to explain the mystery. This will involve some critical reasoning skills on your part.
  3. Use at least two (2) sources plus the class textbook. (Three [3] sources total as the minimum) Note: Wikipedia and other similar Websites do not qualify as academic resources. You are highly encouraged to use the Resource Center tab at the top of your Blackboard page.

 

Your assignment must follow these formatting requirements:

 

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA style format. Both in-text citations and a References list are required. Citations and references must follow APA style format. Check with your professor for any additional instructions. (Note: Students can find APA style materials located in the course shell for guidance).
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. For our purposes, you may omit any abstract page.

 

The specific course learning outcomes associated with this assignment are:

 

  • Explain how key social, cultural, and artistic contributions contribute to historical changes.
  • Explain the importance of situating a society’s cultural and artistic expressions within a historical context.
  • Examine the influences of intellectual, religious, political, and socio-economic forces on social, cultural, and artistic expressions.
  • Identify major historical developments in world cultures during the eras of antiquity to the Renaissance
  • Use technology and information resources to research issues in the study of world cultures.
  • Write clearly and concisely about world cultures using proper writing mechanics.

 

Define and compare the following theories: expectations theory, liquidity theory, market segmentation theory, and preferred habitat hypothesis theory.

You are a financial analyst for the CMC Corporation. This corporation predicts changes in the economy, such as interest rates, retail trends, and unemployment. Your job is to educate incoming analyst on the terminology, definitions, and uses of interest rate theories, yield curves, and predictions. In your next training session, you will cover major theories that have been developed to explain resulting yield curves and the term structure of interest rates. Prepare a training guide with the following:

  • Define and compare the following theories: expectations theory, liquidity theory, market segmentation theory, and preferred habitat hypothesis theory.
  • In 900 Word min., explain how each of the above theories explain changes in the economy.
  • Provide examples for each, and be sure to use and properly cite scholarly sources.
  • Must be in apa format

Explain the factors that led to Mary’s decision to become an independent contractor or employee.

Case Study: Little Lamb Company needs an additional programmer for a special project. The company enters into a contract with Mary to complete this project. Just as the project is nearing completion, a new need arises for her services. She is asked to continue with the company to complete the new project. While completing the new project, the supervisor begins working more closely with Mary and requires her to use company materials and equipment while adhering to company work schedules. After two years, economic conditions force the company to make budget cuts. Mary is asked to leave. Thirty days later, a major contract is acquired by the company, which reinstates the need for Mary’s services as a programmer. However, the supervisor chooses to hire his equally qualified cousin and not offer Mary the opportunity to return.

Write a 700- to 1,400-word paper or memo.

Include the following based on the scenario:

  • Explain whether Mary is an independent contractor or an employee.
  • Explain the factors that led to Mary’s decision to become an independent contractor or employee.
  • Explain how the employer-employee relationship changed over the course of time.
  • Explain whether or not Mary’s release legal under the doctrine of employment-at-will.
  • Identify which of the following exceptions to employment-at-will have been violated.
    • Breach of public policy
    • Breach of implied covenant of good faith and fair dealing
    • Breach of implied contract
  • Explain how the exceptions to employment-at-will have been violated.

Format your paper consistent with APA guidelines if you choose to write a paper.

Click the Assignment Files tab to submit your assignment.

Analyze how you will respond to the incident you selected in a way that meets HIPAA (1996) privacy, security, and HITECH (2009) breach notice requirements.

Click on the Patton-Fuller Community Hospital Virtual Organization and locate the following information:

  • Under the Corporate Officers tab click on Chief Compliance Officer-Compliance Issues files
  • Under the Chief Compliance Officer link click on Director of QA/Risk Management – Review all Incident Reports

Prepare a 12- to 15-slide Microsoft® PowerPoint® presentation with detailed speaker notes for the executive committee of the hospital that includes the following information:

  • HIPAA (1996) compliance
    • Explain HIPAA (1996) compliance.
    • Analyze how you will respond to the incident you selected in a way that meets HIPAA (1996) privacy, security, and HITECH (2009) breach notice requirements.
    • Analyze the ethical issues related to this incident.
    • Analyze how you will follow-up with employees involved in the breach.
    • Recommend changes to ensure data security and privacy compliance under HIPAA (1996).
  • Medical error (Incident Reports)
    • Explain Medical error (Incident Reports).
    • Analyze how you would respond to the medical error to reduce liability.
    • Analyze how you would respond to Joint Commission concerns.
    • Recommend a quality improvement strategy to reduce medical error.

Analyze the dynamics of competition using Porter’s Five Forces Model of Competition. Correctly assess the dynamics of competition.

Instructions for this assignment: Perform all of the elements listed below.

This assignment has you complete two parts of a strategic business plan. To see how those parts fit into a full business plan, click  here for a strategic business plan outline.

Part I – Analysis of the External Environment

As part of the Strategic Business Plan, you have been asked to:

  • Identify and analyze the major driving forces for change in the external environment of the motorcycle industry.
  • Analyze the dynamics of competition using Porter’s Five Forces Model of Competition. Correctly assess the dynamics of competition.
  • Provide at least three statistics about the size of the motorcycle industry such as revenue, growth rate, number of units sold by manufacturer/country, etc.
  • Summarize the strategic issues firms in this industry face and identify their biggest threats.

This section should be titled “The Analysis of H-D’s External Environment.”

Part II – Internal Environment Analysis

Financial

Gather the financial information necessary to do a complete ratio analysis and the Balance Score Card (BSC) key metrics information.

If you were going to create a BSC, what would be the key metrics you would measure in each of the four BSC areas:

  • Financial
  • Customer
  • Internal Business Process
  • Learning and Growth

Perform a ratio analysis using H-D’s five-year financial performance. Interpret the meaning of the ratios and financial performance.

This section should be titled “The Analysis of H-D’s Current Strategy: Two Views.” Be sure to include the ratio analysis. You may also include other graphics to support your narrative.

Competitors

Based on your analysis, you must decide which two competitors present the biggest competitive threat to H-D.

Perform a financial ratio analysis for the competitors after looking at trends in financial performance over five years, and compare the trends to industry averages.

Be sure you have a clear ranking of the industries’ competitors.

This section should be titled “Competitor Analysis.” Be sure to include the financial ratio analysis. You may also include other graphics to support your narrative.

Explain how the performance measures may change if the unit of analysis is the organization as a whole and not the specific operating unit.

In healthcare, the terms “balanced scorecard” and a “dashboard” are used to describe performance measurement tools that are broad in scope but summarized in a few key indicators. In this assignment, you will create a specific dashboard for an operating unit of a healthcare organization.

Tasks:

  • Select and describe a specific healthcare operating unit. Examples are an emergency department, a surgical service, a specific nursing unit, and a physician’s office practice. Select a type of healthcare service you are familiar with.
  • Locate at least three recent (within the past four years) journal articles from professional and peer-reviewed journals that discuss dashboard, balanced scorecard, or performance measurement. Write a brief review of the articles, giving complete citations.
  • On the basis of the literature review and your knowledge of the unit, create four categories of measurement. They must include both clinical and financial categories. Describe the categories and write a justification for each.
  • For each category, create at least three specific performance measures. For each measure, describe how it is calculated and where the data can be found.
  • Explain how the performance measures may change if the unit of analysis is the organization as a whole and not the specific operating unit.

Submission Details:

  • Present your analysis as a 5-page report in a Microsoft Word document formatted in APA style.
  • On a separate page, cite all sources using APA format.
  • Please use sources less than  five years old.