Access Quality and Cost-Effective Care for Stakeholders Discussion
Managed care has become an integral part of the U.S. health care system. In the early 1990s, President Clinton presented a plan for national health care reform that was based on a modified version of managed competition first proposed by Alain Enthoven.Through a combination of newly formed health alliances and competitive bidding by health plans, the incentives of the health care market would have been restructured to encourage price competition in the health care market at both the health plan and provider levels. Review the empirical literature on the effects of managed care and competition and the implications of current trends.Medicare is the second-largest social insurance program in the United States, after Social Security. Despite several attempts throughout the 20th century to enact national health insurance in the United States, each of those efforts failed, culminating in a compromise approach to provide health insurance for the aged: Medicare.
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.SHOW MORE
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
The following e-books or articles from the Capella University Library are linked directly in this course:
Marmor, T. R., & Mashaw, J. L. (2006). Understanding social insurance: Fairness, affordability, and the ‘modernization’ of Social Security and Medicare. Health Affairs, (January-Jun 2006), W114–W134.
Note: Each assessment in this course is a step in developing Assessment 6, a proposal for a new health policy in the form of a policy manual. You are strongly encouraged to complete assessments in this course in sequence. Research access, quality, and cost-effective care and how they benefit stakeholders.Then, write a 2–3-page paper answering the following questions:
What role does quality measurement play in assessing the performance of health plans and in assessing the impact of price competition?
Would you join a health plan without any information on quality, simply because it had the lowest cost? Why or why not?
Refer to what you learned in your research as you answer the following:
Should we, as a society, rely on individual choice of high-quality providers?
Should we base our decisions on publicly available report cards to improve health-care quality?
Should we rely on institutions (government agencies, for example) to mandate and enforce minimum quality standards? Why or why not?
How do access, quality, and cost-effective care come together for the benefit of patients? Physicians and providers? Hospitals? Society?
Length: Paper must be 2–3 pages typed and double-spaced, using Times New Roman, 12-point content (length excludes title page, abstract, table of contents, and reference list).
References: Cite at least three references. Your references may include both scholarly literature and practitioner sources.
Written communication: Writing must be free of errors, scholarly, and consistent with expectations for business professionals.
Writing style: APA expectations for scholarly writing include the use of third-person narrative, unless it is awkward to do so.
PLEASE SEE ATTACH GRADING CRITERIA
Access Quality and Cost-Effective Care for Stakeholders Discussion
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
The community health nurse’s roles have expanded greatly. While the community health nurses care for specific patients in the community like school health nurse, the public health nurses care for everybody in a community. The nurses usually work in partnership with stakeholders, including the government, to deliver various services. Community health nurses have diverse knowledge, skills and competence, and they take part in community organizations, health education, as well as social and political reforms (McMorrow et al., 2021). They work hand in hand with community agencies and community members and they also have a duty in health promotion to address health and social conditions and population problems. Also, they major on individuals with special care, for example, elderly, young mothers, teenagers, sedentary population.
Nurses are trained on skills that focus on collaboration and communication that create a link between community health nurse and many other stakeholders. Through this training, solutions and resources are availed (Prodoehl-Caniano, 2019). Partnering with stakeholders helps develop multiple level interventions, which help enhance sustainability, thus increase trust and proper use of community resources like training. The partnering also involves making decisions of assessment and program education.
Appraising the community resource used in health promotion is vital since it helps evaluate the importance of the fund to the target community. A resource like pregnancy control equipment is essential in a population full of young women; thus, the material can help regulate the rate of early pregnancy (Khumalo & Brown, 2022). Appraisal of the health resource for a community assists in understanding the amount of support to be invested in a particular population. The estimation of the amount of the resources required to assist in avoiding the shortage of support to the community. The resources like education and financial support are essential in population health promotion since it will help in creating an understanding of the health problem and assistance in solving the health issue. The resource also assists in mobilizing the population and providing them with the necessary equipment like food during the promotion.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.