5 Discussions, Need 200 words initial Post for each and 2 replies of 70 words each for each discussion. No Plagiarisn will be tolerated. Due in 24 hour
Before beginning work on this discussion forum, please review the link “
Doing Discussion Questions Right
,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Healthcare to US Citizens
Many organizations, departments, and individuals provide healthcare to the US citizens. The complex nature of the US healthcare delivery system has driven much legislation for change over many years. Using the South University Online Library or the Internet, research about the healthcare organizations and their delivery of healthcare services in order to fully understand the magnitude of the US healthcare delivery system.
Based on your readings and research, answer the following:
1. What are the main objectives of a healthcare delivery system?
2. Name some of the basic functional components of the US healthcare delivery system. What role does each play in the delivery of healthcare?
3. Who are the major players in the US health services system? What are the positive and negative effects of the often conflicting self-interests of these players?
4. Why is it that despite public and private health insurance programs, some US citizens are without any coverage?
5. What are the main roles of the government in the US health services system?
6. Why is it important for healthcare managers and policymakers to understand the intricacies of the healthcare delivery system?
here
. You may find data in other surprising places.
Based on your readings and research, answer the following:
1. Which office contains the health-related data identified above?
2. How do people go about enrolling for Medicare and Medicaid in your community? Describe the eligibility requirements and costs, if any, for each of these types of subsidized care.
· Coverage for acute care, including hospitalization
· Coverage for preventive care
· Outpatient services
· Specialty services, such as mental health, rehabilitation, etc.
Before beginning work on this discussion forum, please review the link “
Doing Discussion Questions Right
,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Government Versus Private Funding
Explore the difference between the following:
Medicare, Medicaid, and a private insurance of your choice (such as Major Medical, PPO or HMO):
Respond to the list of questions below for each, supporting your answers with resources appropriate to the topic
1. Describe how this insurance is paid for? Who pays for it?
2. Who is eligible to have this insurance? Why?
3. How does the insurance work? (Co-payments, Deductibles, Premiums, Capitation, etc.?
4. Give an example of a healthcare service covered under this insurance type? Evaluate how the service is paid for and what is needed for the individual to obtain the service.
5. Is their any political impact on the financial support of these insurance types?
Standard performance measures are a way of collecting data across similar functions, processes, costs, and providers. Benchmarking against these standards has proven to be useful in healthcare as a tool to measure many facets of quality. Carefully evaluating these measures allows for management to design appropriate programs to assist with healthcare service needs and patients to make decisions about facility and provider services. Best Doctors, Inc. and WebMD are examples of these tools. Your discussions will focus on the use of information from these websites to make healthcare decisions.
Using the South University Online Library or the Internet, research about these measures and how they allow management to design appropriate programs to assist with healthcare service needs.
Based on your readings and research, answer the following:
· Present a brief overview of the purpose for each of the Best Doctors, Inc. products. How are the “Best Doctors” of each type determined? Click here to visit the official Best Doctors website.
Next, click
here to read a case study about Mary Jones.
Week Two Discussion
Name of the student
Name of the professor
Date of submission
Week Two Discussion
Health statics are essential for healthcare progress as it helps compare different communities, states, and countries. With the statistics available, it is easier for healthcare providers to plan various strategies on how to control specific health challenges facing the communities. The best way of ensuring that the objective of the health care service delivery system is achieved is by providing that health data is readily available for analysis by different healthcare professionals.
Healthcare statics can be found in different government and non-government agencies such as the Agency for Healthcare Research & Quality, Data & Surveys that is responsible for the provision of data and evidence on treatment efficacy, the cost of treatment, hospital statics as well as statists about HIV & AIDS (Aaron, & Andrews, 2016). World Health Organization Statistical Information System provides global health statics that helps in decision making. To be enrolled in the Medicare program, an individual needs to be 65 years and above or is a member living with a disability. Those who are above 65 years and above and are living with a disability benefit more than those who meet only one criterion. Such individuals benefit from full Medicaid benefits to ensure that they receive healthcare services such as acute problems, prevention care, outpatient services, and mental health problems.
Reference
Aaron, E. M., & Andrews, C. S. (2016). Integration of advanced practice providers into the Israeli healthcare system. Israel Journal of health policy research, 5(1), 7.
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