HSM 546

  • HSM 546 All 7 Weeks Discussions

    HSM 546 All 7 Weeks Discussions

    HSM 546 W1 DQ1 HMO FormationHSM 546 W1 DQ2 ManagedCare Plans HSM 546 W2 DQ1 Utilization ManagementHSM 546 W2 DQ2 The Effect of Human Behavior HSM 546 W3 DQ1 Payment MechanismsHSM 546 W3 DQ2 ManagedCare Under Writing HSM 546 W4 DQ1 Consumer StrategyHSM...

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  • HSM 546 Entire Course Health Ins and Managed Care

    HSM 546 Entire Course Health Ins and Managed Care

    HSM 546 Health Ins and Managed Care / Keller Graduate School of Management / Graded A HSM 546 Week 1 Quiz HSM 546 Week 2 You Decide HSM 546 Week 3 Quiz HSM 546 Week 4 Managed Care Enrollment HSM 546 Week 5 Quiz HSM 546 Week 6 Executive Summary...

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  • HSM 546 W1 DQ1 HMO Formation

    HSM 546 W1 DQ1 HMO Formation

    Week 1: Managed Health Care Structure – Discussion   HMO Formation (graded) Why were HMOs formed? How has the relationship between the government and HMOs changed over the past 7 years?   Responses Responses are...

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  • HSM 546 W1 DQ2 ManagedCare Plans

    HSM 546 W1 DQ2 ManagedCare Plans

    Week 1: Managed Health Care Structure – Discussion   Managed-Care Plans (graded) What are PPO and POS plans? How do HMO plans differ from PPO plans?   Responses Responses are listed below in the following order:...

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  • HSM 546 W2 DQ1 Utilization Management

    HSM 546 W2 DQ1 Utilization Management

    Relationships – Discussion   Utilization Management (graded)     Discuss the concept of managing utilization. Incorporate into your discussion the role of the provider and case management. Describe the differences in...

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  • HSM 546 W2 DQ2 The Effect of Human Behavior

    HSM 546 W2 DQ2 The Effect of Human Behavior

    Week 2: Patient Management and Relationships – Discussion   The Effect of Human Behavior (graded) Explain what actions on the part of the HMO organization would likely cause negative physician behavior. Please provide an example to...

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  • HSM 546 W3 DQ1 Payment Mechanisms

    HSM 546 W3 DQ1 Payment Mechanisms

    Week 3: Payment Mechanisms – Discussion   Payment Mechanisms (graded) Compare and contrast payment methodologies between FFS and MCO plans.   Responses Responses are listed below in the following order: response, author...

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  • HSM 546 W3 DQ2 ManagedCare Under Writing

    HSM 546 W3 DQ2 ManagedCare Under Writing

    Week 3: Payment Mechanisms – Discussion   Managed-Care Underwriting (graded) Discuss problems that MCOs have experienced when implementing capitation arrangements in specialty-care practices.   Responses Responses are...

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  • HSM 546 W4 DQ1 Consumer Strategy

    HSM 546 W4 DQ1 Consumer Strategy

    RE: Trends Affecting Employers Elena Hallars 3/24/2013 10:02:28 AM   Modified:3/24/2013 10:04 AM   The trends that affect healthcare   1. Restructuring2. Competition3. Consumerism4. Cost...

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  • HSM 546 W5 DQ1 Social Insurance Medicaid

    HSM 546 W5 DQ1 Social Insurance Medicaid

    Social Insurance: Medicaid (graded) Discuss the evolution of Medicaid from its inception to present. Discuss some of the reasons behind the decision of many states to use managed care models of delivery for the recipients of Medicaid.

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  • HSM 546 W5 DQ2 Social Insurance Medicare

    HSM 546 W5 DQ2 Social Insurance Medicare

    Week 5: Specialized Programs – Discussion   Social Insurance: Medicare (graded) The evolution of Medicare over the last 40 years has been significant. Discuss the current economic and access challenges that current enrollees of...

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  • HSM 546 W6 DQ2 The Quality of Healthcare

    HSM 546 W6 DQ2 The Quality of Healthcare

    Week 6: Oversight – Discussion   The Quality of Healthcare (graded) The Institute of Medicine’s committee on the Quality of Health Care has six proposed areas for improvement in the healthcare system: safe, effective,...

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  • HSM 546 W7 DQ2 The Impact of Technology

    HSM 546 W7 DQ2 The Impact of Technology

    Week 7: The Future of Health Care – Discussion   The Impact of Technology (graded) What impact has technology had on the delivery of care under the managed healthcare model? What changes do you see in the future?

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  • HSM 546 Week 1 Quiz

    HSM 546 Week 1 Quiz

    1. Question : (TCO B) The integral components of managed care are _____. Student Answer: wellness and prevention primary-care orientation utilization management wellness, prevention, and utilization management All of the above   2...

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  • HSM 546 Week 2 You Decide

    HSM 546 Week 2 You Decide

    Scenario Summary:Cooper-Pearson Sports Marketing Cooper-Pearsonis a very successful sports-marketing company with 75 employees. It has been in existence for 10 years, and it clearly has a bright future. One of the fundamental reasons for...

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  • HSM 546 Week 3 Quiz

    HSM 546 Week 3 Quiz

    1. Question : (TCO D) Capitation will solve the issue(s) of _____. high-utilization patterns poor quality of care lack of accessibility All of the above None of the above 2. Question : (TCO D) Which of the following is the leading reason for...

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  • HSM 546 Week 4 Managed Care Enrollment

    HSM 546 Week 4 Managed Care Enrollment

    Scenario Summary:Managed Care Plan Enrollment Atlanta, Georgia has a very diverse work force, consisting of men and women of various ages, ethnic groups, skills, and education. Many people live and work in one of approximately 14 counties that make up...

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