mha 628 entire course new Flashcards
ASH MHA 628 Entire Course NEW
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MHA 628 Week 1 Discussion 1 Comparing Health Plans NEW
MHA 628 Week 1 Discussion 2 Governance and Management NEW
MHA 628 Week 2 Assignment NEW
MHA 628 Week 2 Discussion 1 Provider Payments NEW
MHA 628 Week 2 Discussion 2 Provider Contracts NEW
MHA 628 Week 3 Assignment ACO Model Quality of Care NEW
MHA 628 Week 3 Discussion 1 Disease Management Programs NEW
MHA 628 Week 3 Discussion 2 Disease Prevention in Health Plans NEW
MHA 628 Week 4 Assignment Internet Search NEW
MHA 628 Week 4 Discussion 1 Employer-Sponsored Health Insurance NEW
MHA 628 Week 4 Discussion 2 Information Systems Functionalities NEW
MHA 628 Week 5 Discussion 1 NEW
MHA 628 Week 5 Discussion 2 NEW
MHA 628 Week 6 Discussion Laws and Regulations NEW
MHA 628 Week 6 Final Paper ACO Model Quality of Care NEW
MHA 628 Week 1 Discussion 2 Governance and Management NEW
MHA 628 Assignment Medicare Medicaid Managed Care Plans NEW
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ASH MHA 628 Week 1 Discussion 2 Governance and Management
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In preparing for this discussion, read Chapter 3 of the course text as well as the required document, The Final Rule for the Medicare Shared Savings Program. For your initial post, address the following in the discussion forum:
• Describe the roles, functions, and liabilities of the board in a managed care organization.
• Assess the main differences regarding Governance as well as Leadership and Management Structure between the Medicare Shared Savings Program and a managed care organization.
Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.
Guided Response: Select two roles, functions, or liabilities of the board outlined by your peers and describe their importance for a managed care organization. Be sure to support your response by citing at least one credible source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 2 Assignment NEW
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MHA 628 Week 2 Assignment NEW
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ASH MHA 628 Week 2 Discussion 1 Provider Payments NEW
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In preparing for this discussion, read Chapter 5 of the course text. For your initial post, address the following in the discussion forum:
• Explain the pros and cons of four provider payment methods: (a) fee-for-service; (b) capitation; (c) global capitation; and (d) bundled payment.
• Based upon your review on the above payment methods, what is your recommendation for the mainstream of provider payment(s)? Be sure to include a detailed account of the benefits and risks.
Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years.
Guided Response: Challenge your peers to think about the provider payment from quality and cost perspectives. Be sure to support your response by citing at least one scholarly source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 2 Discussion 2 Provider Contracts NEW
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In preparing for this discussion, read Chapters 4 and 6 of the course text. For your initial post, address the following in the discussion forum:
• Discuss common issues in the contracting process.
• Describe four provider obligations commonly included in managed care contracts.
• Explain the importance of provider contracts in maintaining a provider network.
Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.
Guided Response: Select two common issues or provider obligations presented by your peers and contrast the differences between your selection and your peers response. Be sure to support your response by citing at least one credible source to validate your assertions. Respond to at least two of your classmatesposts.
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ASH MHA 628 Week 3 Assignment ACO Model Quality of Care NEW
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MHA 628 Week 3 Assignment ACO Model Quality of Care NEW
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ASH MHA 628 Week 3 Discussion 1 Disease Management Programs NEW
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In preparing for this discussion, read Chapters 8 and 16 (p 338) of the course text. For your initial post, address the following in the discussion forum:
•Define disease management (DM) programs.
•Describe the impacts of DM programs on healthcare quality and cost.
•Identify challenges in DM programs.
•Examine a successful DM program from real life and address (a) What is its accreditation status? (b) Why is this program successful? and (c) Can it be replicated in other settings?
Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years.
Guided Response: Challenge your peers to think about the solutions to the identified challenges in DM programs. Be sure to support your response by citing at least one scholarly source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 3 Discussion 2 Disease Prevention in Health Plans NEW
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In preparing for this discussion, read Chapter 13 of the course text. For your initial post address the following steps:
• Step 1. Research a prevention program from a health plan. (You may use your own health insurance plan for your response.)
• Step 2. Criticize the selected health plan prevention program using TABLE 13-1 Components of a Strong Health Plan Prevention Program as the guideline.
• Step 3. Propose two recommendations for improving the weaknesses of the selected program.
Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.
Guided Response: Compare the differences and/or similarities between your and your peers recommendations for improvement. Be sure to support your response by citing at least one credible source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 4 Assignment Internet Search NEW
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MHA 628 Week 4 Assignment Internet Search NEW
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ASH MHA 628 Week 4 Discussion 1 Employer-Sponsored Health Insurance NEW
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In preparing for this discussion, read Chapters 16 and 22 of the course text. For your initial post, address the following in the discussion forum:
• Describe the sales process in the employer-sponsored model.
• Compare the differences between rating and underwriting.
• Discuss the influence of the Patient Protection and Affordable Care Act on ONE of the four areas: (a) marketing, (b) sales, (c) rating, and (d) underwriting.
Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years.
Guided Response: Select the impacted area identified by your peers that is different from your response and compare the differences between your and your peers selected area. Be sure to support your response by citing at least one scholarly source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 4 Discussion 2 Information Systems Functionalities NEW
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In preparing for this discussion, read Chapter 23 of the course text. For your initial post, address the following in the discussion forum:
• Describe the information systems functionalities in claims management and member services.
• Identify the significance of information systems in maintaining provider network.
• Discuss the changes in information systems to support consumerism.
Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.
Guided Response: Select one or two changes in information systems to support consumerism as outlined by your peers and contrast your response with your peers. Be sure to support your response by citing at least one credible source to validate your assertions. Respond to at least two of your classmates posts.
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ASH MHA 628 Week 5 Discussion 1 NEW
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MHA 628 Week 5 Discussion 1
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ASH MHA 628 Week 5 Discussion 2 NEW
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MHA 628 Week 5 Discussion
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ASH MHA 628 Week 6 Discussion Laws and Regulations NEW
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In preparing for this discussion, read Chapters 28, 29 and 30 of the course text. For your initial post,
•Step 1: Select one law from (1) Employee Retirement Income Security Act (ERISA), (2) Consolidated Omnibus Budget Reconciliation Act (CORBA), (3) Health Insurance Portability and Accountability Act (HIPAA), or (4) Patient Protection and Affordable Care Act (PPACA).
•Step 2: Address the following in your initial response:
o Summarize the selected law.
o Describe its impacts on individuals, employers, and payers.
•Step 3: Create a multimedia presentation for two questions in Step 2. Review the Screencast-O-Matic Quick-Start Guide and visit Screencast-o-Matic website to get started. You could also use Jing. The use of a webcam is not required to use a screencast program; however, screencasts do require the use of a computer microphone.
•Step 4: Post the link to your multimedia presentation along with your script to the discussion forum.
Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years.
Guided Response: Challenge your peers to think about the impact of the selected law on a type of managed care plans. Be sure to support your response by citing at least one scholarly source to validate your assertions. Respond to at least two of your classmates posts.
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