"Medicaid managed care" Essays and Research Papers

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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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    The primary clinic

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    Assignment 1: The Primary Care Clinic Due Week 4 and worth 150 points A small primary care clinic has 69 employees‚ representing 9 different clinical professions and 12 other skills. It operates two (2) sites‚ one (1) of which is bigger and has the departments for medical specialists‚ diagnostic labs‚ and patient services. The clinic also contracts for a variety of services‚ such as repair and maintenance‚ referral specialists‚ and advanced diagnostic services. You are the manager. You report

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    and the Role of the Community/Public Health Nurse When considering the evolution of healthcare and the role of the nurse in the United States‚ many people might first consider this in the context of the hospital setting. While the history of acute care is an important area to consider‚ it is imperative that equal attention be given to the history of public health and the role played by the nurse in this segment of the healthcare continuum. The purpose of this paper is to outline the history of

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    health care providers is a common problem seen throughout the United States. This shortage is in both the inpatient and outpatient setting. It is essential that the nation looks for creative ways to provide patients with needed medical care in a timely manner. The utilization of Advance Registered Practice Nurses (APRNs) has shown to be very effective in this healthcare provider crisis. This paper will discuss the significant role that a Family Nurse Practitioner (FNP) has on health care and what

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    Case management

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    Case Management Case management has become the standard method of managing health care delivery systems today. In recent decades‚ case management has become widespread throughout healthcare areas‚ professionals‚ and models in the United States; and it has been extended to a wide range of clients (Park &ump; Huber‚ 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper

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