The document outlines an assignment for comparing advertising strategies of a global product in the USA and a foreign market, excluding South Korea, while emphasizing the importance of providing a bibliographic list in MLA format. It discusses managed care organizations, focusing on their structure and cost implications, particularly among HMO, PPO, and POS plans, while highlighting the role of nurses in improving healthcare delivery and cost efficiency. Additionally, it mentions private insurers and their initiatives, including value-based purchasing and pay-for-performance strategies aimed at enhancing healthcare quality and accountability.

1. Advertising Assignment
Pick a global product / brand and country of interest to you (Do
not choose South
Korea). In a 2-page report (double space), compare and contrast
how that offering is
advertised in the USA and the foreign market. Please provide
your thoughts pro and
con and any questions you have about the differences in
marketing practice, as well as
any suggestions / recommendations for potentially doing things
better. Source material
for this assignment can be obtained from an internet search and
published journal
articles. Please provide a bibliographic list of your references at
the back of your paper.
MLA Format.
Please reply to
William Polanco- Rowland–
Please note minimum of 200 words. Please cite one
scholarly source. In-text citation should be included.
The cost of healthcare and the associated dollar signs
connected to it has kept a certain number of patients away from
seeing a doctor when needed. The creation of Managed Care
Organizations exists to deal with the exorbitant prices
associated with seeing a healthcare provider and actually
decreasing costs while increasing the level of care (Nikitas et
al, 2020). The common thread is the network of providers that
exists within each network that agrees to provide care for the

2. policy holders for an agreed price. Among the Managed Care
Organizations are three plans known as Health Maintenance
Organization (HMO’s), Preferred Provider
Organization(PPO’s), and Point-Of-Service Plan (POS). The
structure of HMO’s exists as a network of hospitals, doctors and
providers that usually only pay for care in the network visits.
These have lower premiums the insured must use a provider
within the network that is their Primary Care Physician (PCP).
In addition, referrals must be obtained from the PCPs for visits
to specialists within the network (healthy.kaiserpermanente.org,
2022) Membership is generally required in the form of
employment or one who lives in the area of coverage. With an
associated higher cost is the PPO’s. They will allow for visits to
in or out of network providers as well as cost of fee coverage
for visiting those out of network providers, generally covered
by the increased monthly premiums and out of pocket costs
(healthy.kaiserpermanente.org, 2022). The third plan being
mentioned here is the Point-Of-Service Plan (POS). This is
considered a hybrid of plans which allows for the insured to
make decisions to see who they want as a provider without first
obtaining prior approval. With regard to a plan that works best
for the consumer, the HMO plan is one where the nurse within
the system is most connected to the providers and the case files
allowing for a seamless connection with provider to facility.
The other two plans have steps between each provider and
information can be lost in the shuffle. The position of nurses
working within the healthcare system allows them an
opportunity to help keep health costs down via means of self
auditing, review of case files and review of the facilities that
they are employed at. A nurse can self audit and review the
cases they are in charge of and ones they are assigned for audit.
They can view the necessity of tests and the frequency of them,
sounding the alarm on unneeded exams. They can use their
knowledge of billing to review charts to discover errors that
might result in costly mistakes to patients and/ or facilities.
Lastly, patients can take lessons for nurses in the form of

3. education to learn about proper diet and eating habits, ways to
manage lifestyle changes and means to schedule healthcare
screenings, to improve long term outcomes.
HMO vs. PPO Plans-What are the Differences? Retrieved Oct
26, 2022, from
https://healthy.kaiserpermanente.org/southern-
california/learn/hmo-vs-ppo-advantages
Nickitas, D.M., Middaugh, D.J., & Feeg, V.D. (2020) Policy
and politics for nurses and other health professionals: Advocacy
and action. Jones and Bartlett Learning. 3rd Edition.
Please reply to
Linda Miller–
Please note minimum of 200 words. Please cite one
scholarly source. In-text citation should be included.
Managed care represents a healthcare system whose main aim is
to manage cost, utilize resources and provide quality. Therefore,
under the system, there is better efficiency which allows high-
quality care delivery at standardized healthcare costs. Various
healthcare providers are contracted which may include
hospitals, physicians, or nurse practitioners and further provide
care to various beneficiaries of the system at reduced costs
(Gordon et al., 2018). The healthcare professionals contracted
are also responsible for creating the plans of action to ensure
the standardization of costs is achieved. Managed programs
examples include Health Maintenance Organizations (HMOs)
and Point of Services (POS).
Private insurers also play a role in the transformation of
healthcare. They primarily include health insurance plans which
are not offered by the federal government. The private insurers
hence develop various initiatives. One is the value-based
purchasing strategy. It is a strategy that is adopted towards
basing decisions regarding coverage and payment of policies on
the value of treatments and services provided compared with the

4. underlying costs of the treatments (Vlaanderen et al., 2019).
Therefore, the healthcare providers are held accountable for
both the cost and quality of care provided. Best-performing care
providers further receive better compensations and rewards.
The second is pay by performance. It is adopted by private
insurers to improve the quality, efficiency, and overall value of
health care (Vlaanderen et al., 2019). The performance is
measured through the use of noted evidence-based standards
Therefore, quality of care is improved among providers with
high-performance levels. Moreover, the strategy provides a
basis for healthcare providers to improve on their care provision
which is also subject to incentives.
Nurses also play various roles to improve quality patient
outcomes tied to healthcare reimbursement. First includes
increased accountability and responsibility in the areas of
transitional care and care coordination (Nickitas et al., 2019).
Primarily, the shift from a fee-for-fee service system to a more
progressive outcomes-based payment system enhances the need
for nurses to take up responsibility and accountability roles
towards meeting the needs of the patients. The achievement of
improved outcomes provides a basis for accessing better
incentives which encourages better effort on their part.
Moreover, nurses may engage in strategies such as reducing
wastage towards advocating for healthcare consumers and
reduce the increasing cost of healthcare. This is through
utilizing resources efficiently where every department remains
on budget. The quality of care is therefore enhanced since every
resource provided is effectively directed to meeting patient
needs in turn reducing the overall cost of healthcare.
References
Gordon, S. H., Gadbois, E. A., Shield, R. R., Vivier, P. M.,
Ndumele, C. D., & Trivedi, A. N. (2018). Qualitative
perspectives of primary care providers who treat Medicaid
managed care patients. BMC Health Services Research, 18(1),
1-8.
https://doi.org/10.1186/s12913-018-3516-9

5. Nickitas, D. M., Middaugh, D. J., & Feeg, M. D. (2019). Policy
and politics for nurses and other health professionals: Advocacy
and action. (3rd ed.). Jones and Bartlett Publishers.
Vlaanderen, F. P., Tanke, M. A., Bloem, B. R., Faber, M. J.,
Eijkenaar, F., Schut, F. T., & Jeurissen, P. P. T. (2019). Design
and effects of outcome-based payment models in healthcare: A
systematic review. The European Journal of Health
Economics, 20(2), 217-232.