COLLEG Final Paper Select topic from the list below and prepare a well thought o

Question

COLLEG Final Paper Select topic from the list below and prepare a well thought out term paper. Please edit your pa carefully and be sure to add appropriate data and research materials that help to explain your position. Write and edit your paper for good organization, clear language with good spelling and punctuation. Have someone read and provide you some feedback before submitting your final paper. This is the kind of assignment that you may have in your career and graduate work. Also take full advantage of the library resources here on campus. Most good papers are built around questions. Read each topic and simply take some part of the text that interest you and examine it carefully. Total paper length should be 6 pages-page 1 is the title page ; 2-5 is the content typed & double- spaced & page 6 is the bibliography. Please download the sample paper format in Power Points in BB for additional instructions and paper presentation format 1. As managed care has evolved, new delivery systems have been established. One such delivery system is the Accountable Care Organization (ACO). Describe the ACO its beginnings, overall objectives, its structure and key features. Managed care companies are partnering with providers to establish ACO's. Discuss the positive or negative impact the ACO will have on reducing health care costs while producing quality outcomes. 2. HMO's improve health care. HMO's do not improve health care. The debate goes on. Discuss the tools and features HMO's use to improve health care-give examples- Take a position on this issue and explain your view The Consumer Directed Health Plan especially the Health Savings Account (HSA) product is gaining popularity among purchasers of health care and managed care companies. Describe the HSA its origins, structure and key features. What are the advantages or disadvantages of the HSA. Take a position on this issue and explain your view. 3. Reminder: You must write the entire paper in your own words. To copy any text from any source and use it in your paper without making proper bibliographic reference is plagiarism.

Explanation / Answer

Answer for q 1:
The objectives of accountable care organizations are:
• Improve the quality and efficiency of care provided
• Increased value from health care expenditures
• Provide accessible, effective, team based integrated care
• Care provided should be culturally competent and patient and family centred.
Structure:
It should have an effective structure which can manage government, provider and relations, recruitment, enrolment, member services, population health, legal issues, costs and reimbursement.
Key features of accountable care organizations are:
• Accountable to the local provider
• Purchaser designation
• Sharing the savings
• Measuring the performance
• Capacity of the organisation
As there is an increase in the health care costs, the managed care organizations are finding ways to control these costs. Previously the patients would pay for the service they were provided from their own pockets or through private health insurance companies or their employer would pay half the expense. Managed care organizations are a group of physicians, specialists or hospitals coordinating with each other to provide care for a monthly fee. The positive impacts are they control the patient’s access to doctors, specialists, laboratories and treatment facilities. The physicians are given salary. The clinics receive the same amount of money regardless of how often the patients see the doctor. The negative impacts are the patients cannot see other doctors or specialists without the approval of the primary physician, dissatisfaction among patients, the highly trained nurses and physicians were replaced by staffs with lesser trained assistant to save costs. There were many issues like shortage of hospital beds, hospice care and home health care for the patients.

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