"Managed care capitation" Essays and Research Papers

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    receive market rewards.  Requirements: a multidimensional transformation of primary care practice with intensive case management and a payer partnership.  Coordinating Primary Care/Team Effort: “patient Centered Medical Home” Geisinger calls it “Personal Health Navigator” aims to help patients manage all the complexities of their care in one setting. Focus on putting patients/families at the center of care. Doctors‚ nurses‚ technicians and case managers (who coordinates it all). Constantly

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    Pate Memorial Hospital

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    among the six general hospitals. Industrial Analysis of Hospital and Ambulatory health care services There’s a dramatic transformation in Health care and hospital industry in the past four decades. Hospitals were largely charitable institutions with non profit orientation until 1960s. Additional funds were poured into expansion and construction of medical schools‚ medicare and Medicaid subsidized health care for the indigent‚ disabled and elderly. These programs reimbursed hospitals for their incurred

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    Nursing

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    The provision for education on health care to our nation has been the focus of the National Academies‚ Institute of Medicine (IOM). It turns out to be that clear from their research that nursing plays an important role in the conveying health care. Robert Woods Johnson Foundation (RWJF) was appointed by IOM the Committee through the interdisciplinary practiced that depend upon the initiative on the Upcoming of Nursing. The aim was to create an achievement in favor of plan for anything that would

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    Running Head: Evolution of Genetic Testing Genetics in Health Care The article discusses the evolution of genetics in primary health care. It emphasizes on the importance of genetic testing in present times‚ and how it has developed and grown from the past. There has been a tremendous progress in health care in using genetics as the diagnostic procedure for not just people with abnormalities‚ but also genetics testing during pregnancy to avoid the bad outcomes when the fetus is born. It is

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    Nurse Navigator Case Study

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    participation in Duke Health workgroups‚ relationships with Duke Health primary care or specialist physicians who see patients on site‚ work with Duke Health care coordinators). Pruitt Health Durham would like to pursue a collaboration with Duke Health in order to coordinate care of Duke Health patients effectively. Previously Pruitt Health Durham has collaborated with Duke Oncology Specialists to provide specialized care to oncology patients. II. Managing Transitions a. Explain in

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    Healthcare system is one of the biggest debates in the twenty-first century; especially in the United States. It’s been changing to fit the needs of American people as the knowledge and technology become more advanced. The Patient Protection and Affordable Care Act (PPACA) are currently in charge of renovating the American healthcare system. While some might say PPACA (also commonly called ACA) is helping people receive the most health benefits‚ others think it is rationing their health benefits in a way

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    Fee-for-service payment model. In Fee-for-service (FFS) model‚ services are paid for separately‚ that allows incentives for the providers to give more treatment‚ as the payment for these services‚ rather than being dependent on quality of care‚ are based on quantity of care. (https://en.wikipedia.org/wiki/Fee-for-service). With the implementation of ACA‚ various payment methodologies have been developed by payers to shift the healthcare system from volume-driven to value-based. The idea behind doing so

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    Sicko Reaction Paper

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    August 5‚ 2013 Sicko Reaction Paper This was a very powerful movie that brings to light‚ and seems to maybe exaggerate some of the problems in the American health care system. It was amazing to me to see the difference between socialized healthcare in other countries compare to the healthcare system in the US. There seem to be multiple pros and cons to consider including cost‚ time for treatment‚ and community attitudes toward these systems. It was impressive to see the socialized counterparts

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    HMO Network Analysis

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    attention to subscribers‚ which means they also encourage preventative healthcare services‚ and the subscriber chooses a primary care physician (PCP)‚ who manages a member’s health care. HMO’s enter into contractual arrangements with healthcare providers and form a provider network‚ and the members must see providers solely from this network if they have their health care paid for by HMOs. HMOs are

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    (2007). Research Challenges for Electronic Health Records. American Journal of Preventive Medicine; May2007 Supplement‚ Vol. 32‚ pS104-S111‚ 0p Furnas‚ B. (2009). American Health Care since 1994: The Unacceptable Status Quo. 2009. < http://www.americanprogress.org/issues/healthcare/report/2009/01/08/5465/american-health-care-since-1994-the-unacceptable-status-quo/> January 8‚ 2009. Zywlak‚ W. (2010). U.S. HEALTHCARE WORKFORCESHORTAGES: HIT STAFF. 2010. < http://www.himss.org/content/files/csc_us_healthcare_workforce_shortages_hit

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