for managed care organizations? Which federal regulations also bring specific requirements for the operation of such entities? Discuss state and federal regulation of MCOs. State oversight of managed care generally focuses on two aspects: the techniques and processes used by a payer‚ and in particular an HMO‚ to deliver or arrange for the delivery of health care services to enrollees‚ and the organizational structure of the payer. (Kongstvedt 596) Much of the state regulation of managed care
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The learning theory has two main concepts to help explain attachment formation. One concept is operant conditioning which explains attachment formation through a reinforced response. When an infant gets food its discomfort from its hunger will become happiness. The infant will now associate the happiness with food and so the food becomes the primary reinforcer. The person feeding the infant will also become associated with the happiness and becomes the secondary reinforce and an attachment will be
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The purpose of this essay is to research a technological toy‚ I focused on Bee Bots‚ which I use in my setting‚ evaluate and critically analyse the effectiveness of that toy in promoting children’s learning. Later I will demonstrate my personal use of ICT and a record of use of Information and Communications Technology (ICT) over a period of one month as a professional role in promoting children’s development in my setting. Finally‚ I will reflect on my tracking sheet and identify the opportunity
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Assessment for learning encourages all pupils to take responsibility for and become more active in their own learning. Wikipedia defines the ultimate purpose of assessment for learning: “to create self-regulated learners who can leave school able and confident to continue learning throughout their lives.” There are two types of assessment for learning - formative and summative assessment. Summative assessment takes the form of end of term/year/topic testing or exams‚ whereas formative assessment
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was more concerned with how to raise a profit because a fee-for-service was still the predominant form of payment (Zuckerman‚ 2011‚ p. 6). However‚ during the 1990s many medical facilities faced foreclosure and buyouts because of the rise of the managed care industry (Zuckerman‚ 2011‚ p. 6). More recently‚ the Affordable Health Care Act (ACA) has caused many healthcare organizations to reevaluate their strategic plans and missions statements‚ so that they may survive on making less of a profit while
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Part 1: Summarize “The Self” by George Herbert Mead George Herbert Mead begins his article by highlighting that self is not something we are born with but rather a process we develop through our experiences and interactions with our social surroundings. Mead adds that we create an incomplete self-image through what we can see with our eyes such as our hand and feet but reflects that we create a complete image of what we can see and can’t see through our social interactions. He mentions how social
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The Self The Self A system of thoughts‚ feelings‚ and behaviors that continue over time and events 1. Self-concept: how we think about ourselves 2. Self-esteem: how we feel about ourselves Self-Perception Theory If other sources of information are absent‚ we learn things about our self by observing our own behavior For example‚ how do you know if you are or were hungry? Imagined behaviors “Looking Glass” Self Reaction of others is an important
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Achieving and Maintaining Accreditation in Managed Care Accreditation is a process by which an impartial organization (URAC) will review a company’s operations to ensure that the company is conducting business in a manner consistent with national standards. For a physician and a nurse after they receive their degree they have to do continuing education courses every year to maintain their licensing with that particular state. These classes are generally known as CME’s (Continuing medical education)
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how the employees’ deals with the online job training are and what the e-learning outcomes are. Those authors’ methods in this article provides context-relevant insights into online training providers and employees themselves and the results were suggest that employees adopt different kind of self-regulated learning strategies which produced different e-learning outcomes. In addition‚ the functions of self-regulated learning strategies are affected by individual factors such as virtual competence
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The title of chapter 20 is a brief summary of what this chapter is about in its entirety‚ "How Procedures Improve the Opportunity to Learn". The key idea is that a well-managed classroom promotes and improves student learning. A well-managed classroom is not something that will stick out to an outsider‚ but can be observed by how smoothly a classroom runs. A well organized classroom comes down to a couple main things: the effectiveness of the first day and classroom procedures. Effective teachers
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