Based on the information below conduct a one page analysis on the ACA and it’s f

Question

Based on the information below conduct a one page analysis on the ACA and it’s future implications on managed care organizations( in particularly in reference to reimbursement).


You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting.
Devise a proposal that address the following:
Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following: Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement). Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization. A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures] Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly support your reasoning for each recommended person to participate in the review. Share the team’s final review of the contract, UMUC Medical Center has received for consideration. In addition, provide a final recommendation as to the selection of the primary managed care organization. In addition, discuss whether the contract should or should not be accepted, and the logic for the recommendation. The contract template can be located directly at https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf ) Submit one (1) single Microsoft Word document at the conclusion of Week 7, no later than Sunday, 11:59 p.m. EDT.
Resources:
Decoding Managed Care Contracting: https://www.youtube.com/watch?v=9-j-C6n4t50
Successfully Negotiating Managed Care Contracts: http://www.hfma.org/Content.aspx?id=16658
Managed Care Answer Guide: http://www.patientadvocate.org/requests/publications/Managed-Care.pdf
2013 MC Contract Evaluation Guidelines: http://www.acr.org/~/media/ACR/Documents/PDF/Economics/Managed%20Care/2013_CEGuidelines.pdf
Analyzing Managed Care Contracts: http://www.akrongeneral.org/portal/page/portal/AGMC_PAGEGROUP/practicemanagement/AnylzMgmtCrCntrcts.pdf
Managed Care Contracting Toolkit: https://www.glms.org/Content/User/Documents/PPAC/ManagedCareToolkitComplete.doc
Sample Managed Care Contract Template: https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf Based on the information below conduct a one page analysis on the ACA and it’s future implications on managed care organizations( in particularly in reference to reimbursement).


You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting.
Devise a proposal that address the following:
Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following: Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement). Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization. A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures] Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly support your reasoning for each recommended person to participate in the review. Share the team’s final review of the contract, UMUC Medical Center has received for consideration. In addition, provide a final recommendation as to the selection of the primary managed care organization. In addition, discuss whether the contract should or should not be accepted, and the logic for the recommendation. The contract template can be located directly at https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf ) Submit one (1) single Microsoft Word document at the conclusion of Week 7, no later than Sunday, 11:59 p.m. EDT.
Resources:
Decoding Managed Care Contracting: https://www.youtube.com/watch?v=9-j-C6n4t50
Successfully Negotiating Managed Care Contracts: http://www.hfma.org/Content.aspx?id=16658
Managed Care Answer Guide: http://www.patientadvocate.org/requests/publications/Managed-Care.pdf
2013 MC Contract Evaluation Guidelines: http://www.acr.org/~/media/ACR/Documents/PDF/Economics/Managed%20Care/2013_CEGuidelines.pdf
Analyzing Managed Care Contracts: http://www.akrongeneral.org/portal/page/portal/AGMC_PAGEGROUP/practicemanagement/AnylzMgmtCrCntrcts.pdf
Managed Care Contracting Toolkit: https://www.glms.org/Content/User/Documents/PPAC/ManagedCareToolkitComplete.doc
Sample Managed Care Contract Template: https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf Based on the information below conduct a one page analysis on the ACA and it’s future implications on managed care organizations( in particularly in reference to reimbursement).


You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting.
Devise a proposal that address the following:
Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following: Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement). Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization. A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures] Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly support your reasoning for each recommended person to participate in the review. Share the team’s final review of the contract, UMUC Medical Center has received for consideration. In addition, provide a final recommendation as to the selection of the primary managed care organization. In addition, discuss whether the contract should or should not be accepted, and the logic for the recommendation. The contract template can be located directly at https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf ) Submit one (1) single Microsoft Word document at the conclusion of Week 7, no later than Sunday, 11:59 p.m. EDT.
Resources:
Decoding Managed Care Contracting: https://www.youtube.com/watch?v=9-j-C6n4t50
Successfully Negotiating Managed Care Contracts: http://www.hfma.org/Content.aspx?id=16658
Managed Care Answer Guide: http://www.patientadvocate.org/requests/publications/Managed-Care.pdf
2013 MC Contract Evaluation Guidelines: http://www.acr.org/~/media/ACR/Documents/PDF/Economics/Managed%20Care/2013_CEGuidelines.pdf
Analyzing Managed Care Contracts: http://www.akrongeneral.org/portal/page/portal/AGMC_PAGEGROUP/practicemanagement/AnylzMgmtCrCntrcts.pdf
Managed Care Contracting Toolkit: https://www.glms.org/Content/User/Documents/PPAC/ManagedCareToolkitComplete.doc
Sample Managed Care Contract Template: https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf

Explanation / Answer

Answer

You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting. The team has five (5) weeks to devise a detailed proposal.

Devise a proposal that address the following:

Present a seven to ten (7-10) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following:

Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement)

Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization.

A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures]

Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly support your reasoning for each recommended person to participate in the review.

Share the team’s final review of the contract, UMUC Medical Center has received for consideration. In addition, provide a final recommendation as to the selection of the primary managed care organization. In addition, discuss whether the contract should or should not be accepted, and the logic for the recommendation.

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