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Conclusion regardin accountable care organizations
Conclusion regardin accountable care organizations
Conclusion regardin accountable care organizations
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Shi and Singh (2015) states that the MedPac was established by the Balanced Budget Act of 1977 as an independent federal agency to advise the US congress on different issues that affect the Medicare program. MedPac regulations consist of analyzing payments to private health care providers that participates in Medicare, access to care, and quality of care (p. 214). Article written by Jill Wechsler (20090 states that MedPac concluded that Medicare payment system should reward value instead of volume to help encourage coordination of care with the different providers as well as constrain cost growth. They proposed alternatives that could help improve physician’s practices by support for graduate medical education, improve chronic care and
This letter is to express my interest in the Project Manager position brought to my attention by Joe Gellatly of Medibeat, LLC. My experience, skill-set and competencies are an excellent match for the responsibilities of this position. The knowledge gained working as a Project Manager for Inland Northwest Health Services dovetails perfectly with the requirements at Discus Analytics, Inc. Working as a Service Manager and Inside Sales Representative early in my career instilled a very strong focus on customer service, both internal and external. My years spent in the Purchasing field provided a strong background in developing budgets, resource management and effective communication. As a Project Manager, I worked on the implementation of various
The Accountable Care Organizations are a coordinated effort between healthcare providers to ensure the best quality of care delivered to the patients and at the same time at a reduced cost. This means that health care providers will voluntarily come together to form the ACO and patients will be able to get treated by any provider in the organization. Apart from that, it will reward the providers for delivering quality care. Even though the ACOs is comparatively a new concept, but its certain concepts and features are closely related to early managed care organizations (Barnes et al.,2014). Both MCOs and ACOs rely on the creation of physician network, promotion of member health and resource management to control costs.
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
In my opinion, there is a need for MedEx to strike a balance between telecommuting and working from the organizational offices. From the above analysis, telecommuting presents both advantages and disadvantages to the organization. It is therefore essential for the organization to strike an important balance between working from home and working from the organizational offices. The company should develop a strategy that enhances flexibility regarding work among its employees (Raffaele & Connell, 2016). To strike this balance, the company should develop a flex form of work structure requiring employees to spend at least two working days a week in the office.
Abstract The paper reviews the organizational chart and stakeholders relationships for Sheppard Pratt Health Systems. The organizational chart for each health care organization is different depending on the size and services offer by that organization. Most organizational charts begin with either a board of trustees or the CEO. Stakeholders are anyone who has vested interest in an organization.
A patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration
You are a new physician setting up your practice in a new town. You are researching the different MCOs offered in your area and are considering becoming a physician for one of these networks. You have also invited the sales representatives of several healthy plans to speak with you about the benefits of choosing their plans. Based on the above scenario, answer the following questions: • What effects would join an MCO have your clinic regarding staffing, patient volume, and financial stability?
In palpable markets, information is often not only difficult to come by but also restricted by those who hold power – and locating this “equilibrium” price is an arduous if not impossible task. The market for medical services may best exemplify this. In the medical market, prices vary depending on one’s HMO, whether they have insurance or not, and the facility performing the service – among other factors. Even if one could find the theorized “equilibrium” price for a medical service by painstakingly extracting all pricing information. One must ask if the same service is being provided at that given price?
Introduction One of the biggest challenges in managing medical practice is managing cash flow. In theory, it seems as simple as providing a service, then collecting the payment. In reality, however, bad planning, insurance documents, high abstracted patients and lack of employee training often create collection inefficiency and cause cash flow problems. Multi-hospital system over the past 30 years, multi-hospital systems including tax exemptions and for-profit organizations have developed much faster than independent hospitals. Assume that the multi-hospital system has several advantages, including: • Better access to the capital market, thereby reducing capital costs • Eliminate repetitive services, thereby increasing the remaining site 's
is a large health insurance conglomerate based in the United States. This company has been around since 1853, transforming from what was initially a fire damage insurance company into a leader in the health care insurance field. This transformation process had its moments where Aetna faced difficulty transforming itself to match the changing times. In late 2000, John Rowe, MD became Aetna’s 4th CEO in 5 years (Katzenbach et al., 2012). By the late 2000’s the culture in Aetna had gotten to the point where they were comfortable with mediocrity and unwilling to take risks.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
Across the United States, it is common to find nurse-managed health centers that offer accessible health care services to the people. Nurse-managed health centers are a basic necessity in healthcare because they provide affordable and deserved care to the unprivileged population, while at the same time educating and training nurse practitioners. Usually, such health care institutions are led by an advanced practice nurse and as a result, need careful and efficient management and leadership skills and models. With the role that these centers serve, there is a need for an advocacy strategy for the nurse-managed health centers as a way of overseeing their effectiveness in service delivery grow. One of the factors that can improve management delivery
The authors argue that if providers do not have a high degree of professional dominance then policy makers and managers are more able to monitor and control them. They further argue that policy makers and managers will be more able control and monitor providers where procedures and outputs of delivery are easily measureable and standardized. However, things get complicated when service provider knowledge promotes capacity to organize and control their own interest, as in the case of doctors and teachers. It is very unlikely that politicians will agitate for service improvements where front-line providers are also politically organized and politicians depend upon their
The changing climate as a result of the advent of value-based care continues to place significant demands on hospitals, medical providers, healthcare organizations, and physicians to take a completely new look at the marketing strategy. A coherent strategy and sustained quality are critical in today’s healthcare market to attract new patients, retain existing clients, and maintain positive and productive relationships between the patients and hospital staff. To be viable today, healthcare organizations have to utilize effective strategic planning to develop integrated marketing strategies that makes it efficient and easy for the target population to identify what they need, make informed decisions, and provide insights and new information – not just basic promotion. Also, such efforts have to be constantly evaluated to ensure highest quality that fosters better outcomes and more value for the
