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North Carolina Case Study Summary

690 Words3 Pages

1. What are the strengths of the current Medicaid care management system in North Carolina? The state of North Carolina, arguable has had positive reviews concerning Medicaid. With one of the biggest issues concerning the United States being the costs associated with care, and the consistent increase in these costs, North Carolina has been one of the top states to reduce costs. In particular, their Medicaid program has been well known as the textbook describes North Carolina as a leader in improving Medicaid quality and costs. Furthermore, their plan seems to do a great job of implementing current health care issues. For example, the plan insures that the CCE’s are providing fair and equal access, using the same financial vendor to reimburse medical providers, integrating mental health, and ensures access to primary and preventative services. Furthermore, physicians have been working towards an evidence-based medicine, as well as developing case management procedures for high-risk patients. Overall, it seems as though they are doing fairly well as they are not only working …show more content…

As far as the costs associated with health care, they may be concerned with the suggested payment system. Being a CCE, they are required to obtain reimbursement through a risk-adjusted, capitated basis. In addition, patients are allowed to choose health plans that best fit them and can change plans at any point. Furthermore, CCE must compete for patient based on their value and quality of service that they provide. In addition, the providers have various criteria that they must meet. Such criteria include fair an equal access through primary and preventative care, 24/7 medical advice, maintain hospital admitting privileges, and a refer or authorize service. Along with this, they are also suggesting the use of evidence-based medicine and the use of case management

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1 Running head: PERC MODEL AND ITS APPLICABILITY IN NOTHERN CAROLINA 2 PERC MODEL AND ITS APPLICABILITY IN NOTHERN CAROLINA PERC model and its applicability in Northern Carolina Name: Institution: When the government authorities in northern Carolina liaison with the Property and Environment Research Center (PERC), there will be proper management of parks in the region. The parks that are found are important since they contribute to the growth of the economy but thus can only happen when appropriate and sustainable budgets are prepared. There is need for formulation of a balanced budget. Thus, there should be a balance between the revenues as well as the expenditures to facilitate effective operations.

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1022 Words | 5 Pages

The students of North Carolina Agricultural and Technical College (A&T), embarked on a new journey on February 1st, 1960. In the city of Greensboro, the college students decided they would go to a lunch counter (segregated for only Whites) and ask for service. This act of Civil Rights Movement, following after the Brown v. Board of Education case, was the start of something new for African Americans. The college students inspired others to form their own sit-ins and they inspired the start of new organizations such as Student Nonviolent Coordinating Committee (SNCC). In general, the students of the Greensboro sit-in both continued and started their own form of a Civil Rights Movement.

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1205 Words | 5 Pages

[Cost] Cost could potentially be the biggest factor of the iron triangle and perhaps the side of the model that leaves administrators most puzzled. With new technology being released quarterly, drug prices soaring, a new aging population that can't be supported by the current workforce, Medicare cutting reimbursement payments and leaning towards insolvency, and the price per service continues to rise it seems as if cutting costs down may seem impossible. Not only have hospitals and clinics began looking for more cost-efficient ways to provide care or, unfortunately which programs to cut, the political arena has been evaluating this as well. Since Obamacare has not lived up to its true potential and glory an alternative method must be identified before the nation's model of healthcare implodes from high costs.

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950 Words | 4 Pages

Prior to South Carolina v. Gathers (1989) 490 U.S. 805, Booth v. Maryland (1987) 482 U.S. 496, and Payne v. Tennessee (1991) 501 U.S. 808, victims did not have a voice in criminal cases other than reporting a crime, and testifying at trial. Unlike the offender, victims were relegated to sit in abeyance until the trial was over. In Linda R.S. v. Richard D. (1973), the U.S. Supreme Court ruled that a crime victim couldn’t coerce a criminal prosecution because "a private citizen lacks a judicially cognizable interest in the prosecution or non-prosecution of another" (Donahoe, 1999). This case supported the fact that victims had little to no legal rights within a court of law. The U.S. Constitution recognizes rights for someone who commits a

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337 Words | 2 Pages

Northern Carolina and Southern Carolina Northern Carolina and Southern Carolina were very different. In Northern Carolina their main crop was tobacco instead of rice and many of the early settlers came from Virginia. The sounds were not deep enough to permit seaports, so the northern settlers kept their ties to Virginia in order to have a port from which they could ship tobacco. In Southern Carolina their main crop was rice and Indians were the first slaves the southern settlers had, and later African Americans took their place. Three counties that were in the Southern Carolina is Berkeley County, Colleton County, and Craven County. Northern and Southern Carolina had many different things about them like crops and settlers.

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65 Words | 1 Pages

1. To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week 2. To record the care that has been given to the patient/client 3. To make sure there is an accurate record to be used as ‘evidence’ when there is a complaint from a patient/client about the

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1281 Words | 6 Pages

The issue is that it is very difficult to assess the overall competence and voluntariness of a patient. CMA mandates that the protection of physicians is a must; and any change in law must legally protect those physicians who choose to participate from criminal, civil, and disciplinary proceedings. No physician should feel compelled to participate, and patients are free to transfer to another hospital if a physician denies a patients

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771 Words | 4 Pages

In July of 1933, the North Carolina State Legislature formed the EBNC. The EBNC is The Eugenics Board of North Carolina. The board was formed to repeal a 1929 law that had been put in place to provide sterilization for persons that were feeble minded and mentally defective in North Carolinian penal institutes. The EBNC was put in place when the act was ruled unconstitutional by the Supreme Court because it permanently affects the lives of inmates in a system similar to bartering. There was the perception of fairness to inmates who are being coerced into contraceptive intake or “sterilization”.

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1130 Words | 5 Pages

The debate over healthcare and health insurance has been disputed over for many years among politicians. The question many of them ask, along with the citizens of America, is simply whether the state or federal government should control health care. While there are pros and cons to both sides, there is a clear answer to this long fought over issue. Health care should be run by states because they manage their health insurance exchanges more efficiently, maintain the cost and quality of health insurance and care, and are constitutionally and lawfully accountable. States should run the health care system because state-run health exchanges are managed more efficiently than federal-run exchanges.

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266 Words | 2 Pages

The United States constitution and the North Carolina constitution were both created to initiate a form a government at their own levels, and to give those governments specific powers. Both constitutions have similar outlines of their executive, legislative, and judicial branches, and include an article that secures the rights of citizens through the legal systems. Although they bear conspicuous similarities, such as structure, the state and U.S. constitutions do exhibit differences as well. Possibly the most recognizable distinction between the two constitutions is that the North Carolina constitution has a basis of religion. The preamble states that the people of North Carolina are “grateful to Almighty God, the Sovereign Ruler of Nations”.

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410 Words | 2 Pages

I’ve lived in South Carolina 20 years and have enjoyed it very much, however one day I will move back to Colorado. I spent about 10 months in this beautiful states and I observed how healthy and active the people were. So naturally I chose to compare and contrast South Carolina and Colorado. South Carolina is ranked 33 as the Healthiest States for Seniors where as Colorado is ranked number 4. South Carolina has a low percentage of low-care nursing home residents, the excessive drinking is not prevalent and high percentage of hospice care.

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458 Words | 2 Pages

Without a doubt attending North Carolina Governor 's School West has had the greatest impact on my thinking. I was privileged to join a few hundred of the brightest minds of my age in Winston-Salem, North Carolina for a six week experience away from outside influence. This immersion was especially life altering because of how open-minded everyone was to new perspectives. This truly created an environment of learning and expression in addition to being a major liberation from my everyday life as I had to be truly independent while on Salem College’s campus. I attended as a choral ensemble student, but was able to experience so much more in addition to choir.

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1437 Words | 6 Pages

The Minnesota study had supplied advantages and shortcomings of the usage of ACOs for Medicaid service for the state. Since there was a diverse group of patients within the pilot program, the information gained through the evaluation provided a respectable sample to assess the program. One of the challenges that faced care coordinators was housing, social, and vocational issues because of the economic issues some of the patients were facing (Sandberg et al., 2014). Another issue faced within the study was the usage of emergency room for dental pain because of the lack of dental services for Medicaid recipients (Sandberg et al., 2014). While need for dental services was unexpected, collaboration with other health care professionals delivered dental professionals that were willing to offer services to the individuals.

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1122 Words | 5 Pages

Healthcare Reimbursement Healthcare is made up of many factors. Among those factors are provider reimbursement and the different types of financial methods used by the patients to acquire healthcare services. Provider reimbursement is important and necessary in order to maintain the continuation of healthcare. Like every organization, including non-profit organizations, require revenue in order to pay their healthcare providers, expenses accrued, and to obtain the supplies needed to aid in rendering services. With that said, this is why there are many financial methods such as third-party payers, government agencies, private health insurance, and patient payments.

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700 Words | 3 Pages

Healthcare professionals mostly adopt patient rights, covering such matters as access to care, patient dignity, confidentiality, and consent to treatment.

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