Health Care Management System

Health Care Management System ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Health Care Management System The files attached will explain your role in this assignment. Tutor must present a word document with 700 words. Liberty University BUS 511 Health Care Management System Discussion additional_references.doc forum_6_discussion_instructions.docx BUSI 511 MODULE/WEEK 6 ADDITIONAL READING AARP studies adult foster care for the elderly. Public Health Rep. 1996;111(4):295. Alecxih L. 2001. The impact of sociodemographic change on the future of long-term care. Generations. 2001;25(1):7–11. Anderson GF. Physician, public, and policymaker perspectives on chronic conditions. Arch Intern Med. 2003;163(4):437–442. Balsa A, et al. Does managed health care reduce health care disparities between minorities and whites? J Health Econ. 2007;26(1):101–121. Brown AF, et al. Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care. Diab Care. 2005;28(12):2864–2870. Brown M. Mergers, networking, and vertical integration: Managed care and investor-owned hospitals. Health Care Manage Rev. 1996;21(1):29–37. Carson KD, et al. Management of Healthcare Organizations. Cincinnati, OH: South-Western College Publishing; 1995. Centers for Medicare and Medicaid Services (CMS). Managed care trends. 2010.Liberty University BUS 511 Health Care Management System Discussion http://www.cms.gov/MedicaidDataSourcesGenInfo/downloads/2010Trends.pdf. Accessed December 2011. Citro J, Hermanson S. Fact Sheet: Assisted Living in the United States. Washington, DC: AARP; 1999. Claxton G, et al. The Kaiser Family Foundation and Health Research and Educational Trust Employer Health Benefits 2011 Annual Survey. Menlo Park, CA: Henry J. Kaiser Family Foundation/Chicago, IL: Health Research and Educational Trust; 2011. Cook BL. Effect of Medicaid managed care on racial disparities in health care access. Health Serv Res. 2007;42(1 Pt 1):124–145. Correia EW. Accountable care organizations: The proposed regulations and the prospects for success. Am J Managed Care. 2011;17(8):560–568. Coughlin TA, et al. Does managed care improve access to care for Medicaid beneficiaries with disabilities? A national study. Inquiry. 2008–2009;45(4):395–407. DeFrancesco LB. HMO enrollees experience fewer disparities than older insured populations. Findings Brief: Health Care Financing & Organization. 2002;5(2):1–2. DeLuca JM, Cagan RE. The integrated delivery system. In CEO’s Guide to Health Care Information Systems. Chicago: Health Forum; 1998:35–46. Page 1 of 4 BUSI 511 Department of Health and Human Services. Health, United States, 2010. Hyattsville, MD: U.S. Department of Health and Human Services; 2011. DeVore S, Champion RW. Driving population health through accountable care organizations. Health Affairs. 2011;30(1):41–50. Doty P, et al. Informal caregiving. In The Continuum of Long-Term Care: An Integrated Systems Approach, edited by Evashwick CJ. Albany, NY: Delmar Publishers; 1996:125–141. Duggan M, Hayford T. Has the Shift to Managed Care Reduced Medicaid Expenditures? Evidence from State and Local-Level Mandates. Working Paper No. 17236. National Bureau of Economic Research; 2011. Eikel CV. Liberty University BUS 511 Health Care Management System Discussion Fewer patient visits under capitation offset by improved quality of care: Study brings evidence to debate over physician payment methods. Findings Brief: Health Care Financing & Organization. 2002;5(3):1–2. Frank RG, Garfield RL. Managed behavioral health care carve-outs: Past performance and future prospects. Ann Rev Public Health. 2007;28(1):303–320. Gabel J. Ten ways HMOs have changed during the 1990s. Health Affairs. 1997;16(3):134–145. Goldfarb B. Corporate health care mergers. Med World News. 1993;34(2):26–34. Graham CL, et al. Fee-for-service and managed care for seniors and people with disabilities on Medicaid: Implications for the managed care mandate in California. J Health Care Poor Underserved. 2011;22(4):1413–1423. Henry J. Kaiser Family Foundation. Fact sheet: Medicare Advantage. 2011. http://www.kff.org/medicare/upload/2052-15.pdf. Accessed January 2012. Henry J. Kaiser Family Foundation. What’s in the starts? Quality ratings of Medicare Advantage Plans, 2010. 2009. http://www.kff.org/medicare/upload/8025.pdf. Accessed January 2012. Himmelstein D, et al. Quality of care in investor-owned vs not-for-profit HMOs. JAMA. 1999;282(2):159–163. Hofmann MA. Quality of health care improving. Bus Insurance. 2002;36(38):1–2. Iglehart JK. The American health care system: Managed care. The Nation’s Health, 4th ed., edited by Lee PR, Estes CL. Sudbury, MA: Jones and Bartlett; 1994:231–237. Kongstvedt PR. Managing hospital utilization. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:121–135. Page 2 of 4 BUSI 511 Lakdawalla D, et al. Forecasting the nursing home population. Med Care. 2003;41(1):8–20. Landon BE, et al. Quality of care in Medicaid managed care and commercial health plans. JAMA. 2007;298(14):1674–1681. McGuire TG, et al.Liberty University BUS 511 Health Care Management System Discussion An economic history of Medicare Part C. Milbank Quarterly. 2011;89(2):289–332. MetLife Mature Market Institute. The MetLife National Study of Adult Day Services. Westport, CT: Metropolitan Life Insurance Company; 2010. Miller RH, Luft HS. HMO plan performance update: An analysis of the literature, 1997–2001. Health Affairs. 2002;21(4):63–86. Moscovice I, et al. Expanding rural managed care: Enrollment patterns and perspectives. Health Affairs. 1998;17(1):172–179. National Academy on an Aging Society. 2000. Caregiving: Helping the Elderly with Activity Limitations. Washington, DC: National Academy on an Aging Society. National Association of Home Care and Hospice. Basic statistics about home care. 2010. http://www.nahc.org/facts/10HC_Stats.pdf. Accessed January 2012. National Center for Assisted Living. Assisted living resident profile. 2006. http://www.ncal.org/about/resident.cfm. Accessed August 2008. National Council on Aging. Fact sheet: Senior centers. 2011. http://www.ncoa.org/assets/files/pdf/FactSheet_SeniorCenters.pdf. Accessed January 2012. National Subacute Care Association. Definition of subacute care as developed and approved by the NSCA board of directors. June 27, 1996. http://www.nsca.net/info/definition.htm. O’Keeffe J, Siebenaler K. Adult Day Services: A Key Community Service for Older Adults. Washington, DC: U.S. Department of Health and Human Services; 2006. Ostir GV, et al. Disability in older adults 1: Prevalence, causes, and consequences. Behav Med. 1999;24(4):147–156. Partnership for Solutions. Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns Hopkins University; 2002. Pelfrey S, Theisen BA. Joint venture in health care. J Nurs Admin. 1989;19(4):39–42. Rakich JS, et al. Managing Health Services Organizations, 3rd ed.Liberty University BUS 511 Health Care Management System Discussion Baltimore, MD: Health Professions Press; 1992. Page 3 of 4 BUSI 511 Riley GF, et al. Stage at diagnosis and treatment patterns among older women with breast cancer. JAMA. 1999;281:720–726. Robinson JC. Renewed emphasis on consumer cost sharing in health insurance benefit design. Health Affairs Web Exclusives. 2002;W139–W154. Sahyoun NR, et al. Trends in causes of death among the elderly. In Aging Trends. Hyattsville, MD: National Center for Health Statistics; March 2001. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: HMO-PPO Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011a. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Hospitals/Systems Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011b. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Public Payer Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011c. Schneider EC, et al. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005;118(12):1392–1400. Seff MK. Clearing up health care myths. Golden Lifestyles. January–March 2003:7. Stahl C. Adult foster care: An alternative to SNFs? ADVANCE for Occupational Therapists. September 29, 1997. Taylor M. Revival of the fittest. Mod Healthcare. 2006;36(26):24–26. U.S. Census Bureau. Statistical Abstract of the United States, 2010. Washington, DC: Government Printing Office; 2010. Udvarhelyi IS, et al. Comparison of the quality of ambulatory care for fee-for-service and prepaid patients. Ann Intern Med. 1991;115(5):394–400. Wagner ER. The files attached will explain your role in this assignment. Tutor must present a word document with 700 words. Liberty University BUS 511 Health Care Management System Discussion additional_references.doc forum_6_discussion_instructions.docx BUSI 511 MODULE/WEEK 6 ADDITIONAL READING AARP studies adult foster care for the elderly. Public Health Rep. 1996;111(4):295. Alecxih L. 2001. The impact of sociodemographic change on the future of long-term care. Generations. 2001;25(1):7–11. Anderson GF. Physician, public, and policymaker perspectives on chronic conditions. Arch Intern Med. 2003;163(4):437–442. Balsa A, et al. Does managed health care reduce health care disparities between minorities and whites? J Health Econ. 2007;26(1):101–121. Brown AF, et al. Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care. Diab Care. 2005;28(12):2864–2870. Brown M. Mergers, networking, and vertical integration: Managed care and investor-owned hospitals. Health Care Manage Rev. 1996;21(1):29–37. Carson KD, et al. Management of Healthcare Organizations. Cincinnati, OH: South-Western College Publishing; 1995. Centers for Medicare and Medicaid Services (CMS). Managed care trends. 2010.Liberty University BUS 511 Health Care Management System Discussion http://www.cms.gov/MedicaidDataSourcesGenInfo/downloads/2010Trends.pdf. Accessed December 2011. Citro J, Hermanson S. Fact Sheet: Assisted Living in the United States. Washington, DC: AARP; 1999. Claxton G, et al. The Kaiser Family Foundation and Health Research and Educational Trust Employer Health Benefits 2011 Annual Survey. Menlo Park, CA: Henry J. Kaiser Family Foundation/Chicago, IL: Health Research and Educational Trust; 2011. Cook BL. Effect of Medicaid managed care on racial disparities in health care access. Health Serv Res. 2007;42(1 Pt 1):124–145. Correia EW. Accountable care organizations: The proposed regulations and the prospects for success. Am J Managed Care. 2011;17(8):560–568. Coughlin TA, et al. Does managed care improve access to care for Medicaid beneficiaries with disabilities? A national study. Inquiry. 2008–2009;45(4):395–407. DeFrancesco LB. HMO enrollees experience fewer disparities than older insured populations. Findings Brief: Health Care Financing & Organization. 2002;5(2):1–2. DeLuca JM, Cagan RE. The integrated delivery system. In CEO’s Guide to Health Care Information Systems. Chicago: Health Forum; 1998:35–46. Page 1 of 4 BUSI 511 Department of Health and Human Services. Health, United States, 2010. Hyattsville, MD: U.S. Department of Health and Human Services; 2011. DeVore S, Champion RW. Driving population health through accountable care organizations. Health Affairs. 2011;30(1):41–50. Doty P, et al. Informal caregiving. In The Continuum of Long-Term Care: An Integrated Systems Approach, edited by Evashwick CJ. Albany, NY: Delmar Publishers; 1996:125–141. Duggan M, Hayford T. Has the Shift to Managed Care Reduced Medicaid Expenditures? Evidence from State and Local-Level Mandates. Working Paper No. 17236. National Bureau of Economic Research; 2011. Eikel CV. Liberty University BUS 511 Health Care Management System Discussion Fewer patient visits under capitation offset by improved quality of care: Study brings evidence to debate over physician payment methods. Findings Brief: Health Care Financing & Organization. 2002;5(3):1–2. Frank RG, Garfield RL. Managed behavioral health care carve-outs: Past performance and future prospects. Ann Rev Public Health. 2007;28(1):303–320. Gabel J. Ten ways HMOs have changed during the 1990s. Health Affairs. 1997;16(3):134–145. Goldfarb B. Corporate health care mergers. Med World News. 1993;34(2):26–34. Graham CL, et al. Fee-for-service and managed care for seniors and people with disabilities on Medicaid: Implications for the managed care mandate in California. J Health Care Poor Underserved. 2011;22(4):1413–1423. Henry J. Kaiser Family Foundation. Fact sheet: Medicare Advantage. 2011. http://www.kff.org/medicare/upload/2052-15.pdf. Accessed January 2012. Henry J. Kaiser Family Foundation. What’s in the starts? Quality ratings of Medicare Advantage Plans, 2010. 2009. http://www.kff.org/medicare/upload/8025.pdf. Accessed January 2012. Himmelstein D, et al. Quality of care in investor-owned vs not-for-profit HMOs. JAMA. 1999;282(2):159–163. Hofmann MA. Quality of health care improving. Bus Insurance. 2002;36(38):1–2. Iglehart JK. The American health care system: Managed care. The Nation’s Health, 4th ed., edited by Lee PR, Estes CL. Sudbury, MA: Jones and Bartlett; 1994:231–237. Kongstvedt PR. Managing hospital utilization. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:121–135. Page 2 of 4 BUSI 511 Lakdawalla D, et al. Forecasting the nursing home population. Med Care. 2003;41(1):8–20. Landon BE, et al. Quality of care in Medicaid managed care and commercial health plans. JAMA. 2007;298(14):1674–1681. McGuire TG, et al.Liberty University BUS 511 Health Care Management System Discussion An economic history of Medicare Part C. Milbank Quarterly. 2011;89(2):289–332. MetLife Mature Market Institute. The MetLife National Study of Adult Day Services. Westport, CT: Metropolitan Life Insurance Company; 2010. Miller RH, Luft HS. HMO plan performance update: An analysis of the literature, 1997–2001. Health Affairs. 2002;21(4):63–86. Moscovice I, et al. Expanding rural managed care: Enrollment patterns and perspectives. Health Affairs. 1998;17(1):172–179. National Academy on an Aging Society. 2000. Caregiving: Helping the Elderly with Activity Limitations. Washington, DC: National Academy on an Aging Society. National Association of Home Care and Hospice. Basic statistics about home care. 2010. http://www.nahc.org/facts/10HC_Stats.pdf. Accessed January 2012. National Center for Assisted Living. Assisted living resident profile. 2006. http://www.ncal.org/about/resident.cfm. Accessed August 2008. National Council on Aging. Fact sheet: Senior centers. 2011. http://www.ncoa.org/assets/files/pdf/FactSheet_SeniorCenters.pdf. Accessed January 2012. National Subacute Care Association. Definition of subacute care as developed and approved by the NSCA board of directors. June 27, 1996. http://www.nsca.net/info/definition.htm. O’Keeffe J, Siebenaler K. Adult Day Services: A Key Community Service for Older Adults. Washington, DC: U.S. Department of Health and Human Services; 2006. Ostir GV, et al. Disability in older adults 1: Prevalence, causes, and consequences. Behav Med. 1999;24(4):147–156. Partnership for Solutions. Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns Hopkins University; 2002. Pelfrey S, Theisen BA. Joint venture in health care. J Nurs Admin. 1989;19(4):39–42. Rakich JS, et al. Managing Health Services Organizations, 3rd ed.Liberty University BUS 511 Health Care Management System Discussion Baltimore, MD: Health Professions Press; 1992. Page 3 of 4 BUSI 511 Riley GF, et al. Stage at diagnosis and treatment patterns among older women with breast cancer. JAMA. 1999;281:720–726. Robinson JC. Renewed emphasis on consumer cost sharing in health insurance benefit design. Health Affairs Web Exclusives. 2002;W139–W154. Sahyoun NR, et al. Trends in causes of death among the elderly. In Aging Trends. Hyattsville, MD: National Center for Health Statistics; March 2001. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: HMO-PPO Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011a. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Hospitals/Systems Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011b. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Public Payer Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011c. Schneider EC, et al. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005;118(12):1392–1400. Seff MK. Clearing up health care myths. Golden Lifestyles. January–March 2003:7. Stahl C. Adult foster care: An alternative to SNFs? ADVANCE for Occupational Therapists. September 29, 1997. Taylor M. Revival of the fittest. Mod Healthcare. 2006;36(26):24–26. U.S. Census Bureau. Statistical Abstract of the United States, 2010. Washington, DC: Government Printing Office; 2010. Udvarhelyi IS, et al. Comparison of the quality of ambulatory care for fee-for-service and prepaid patients. Ann Intern Med. 1991;115(5):394–400. Wagner ER. Types of managed care organizations. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:24–34. Wan T, Weissert WB. Social support networks, patient status, and institutionalization. Res Aging. 1981;3:240–256. Wilson FA, Neuhauser D. Health Services in the United States, 2nd ed. Cambridge, MA: Ballinger Publishing; 1985. Zawadski RT, Eng C. Case management in capitated long-term care. Health Care Financing Review Annual Supplement. December 1988:75–81. Page 4 of 4 Topic: Health Care Systems – Part II 1. An introductory paragraph on the topic 2. Explain the growth of managed care that began in the 1980s. 3. As a result, how has health care delivery evolved? 4. What role do hospitals have in advancing continuous quality improvement (CQI) health outcomes and modernizing U.S. healthcare delivery models? 5. Conclusive paragraph: Based on the literature, what does the future hold? Note: Make sure you use 20 citations and references from the references from the file attached to this text and chapters 9 and 10 of the book from Shi and Singh (Essentials of U.S. Health Care Delivery)—making the total 21 sources. 7. The word count should be 700 … Types of managed care organizations. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:24–34. Wan T, Weissert WB. Social support networks, patient status, and institutionalization. Res Aging. 1981;3:240–256. Wilson FA, Neuhauser D. Health Services in the United States, 2nd ed. Cambridge, MA: Ballinger Publishing; 1985. Zawadski RT, Eng C. Case management in capitated long-term care. Health Care Financing Review Annual Supplement. December 1988:75–81. Page 4 of 4 Topic: Health Care Systems – Part II 1. An introductory paragraph on the topic 2. Explain the growth of managed care that began in the 1980s. 3. As a result, how has health care delivery evolved? 4. What role do hospitals have in advancing continuous quality improvement (CQI) health outcomes and modernizing U.S. healthcare delivery models? 5. Conclusive paragraph: Based on the literature, what does the future hold? Note: Make sure you use 20 citations and references from the references from the file attached to this text and chapters 9 and 10 of the book from Shi and Singh (Essentials of U.S. Health Care Delivery)—making the total 21 sources. 7. The word count should be 700 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10