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Health Care Management System Discussion
Health Care Management System Discussion ON Health Care Management System
DiscussionThe files attached will explain your role in this assignment. Tutor must present a
word document with 700
words.additional_references.docforum_6_discussion_instructiUnformatted Attachment
PreviewBUSI 511 MODULE/WEEK 6 ADDITIONAL READING AARP studies adult foster care
for the elderly. Public Health Rep. 1996;111(4):295. Alecxih L. 2001. The impact of
sociodemographic change on the future of long-term care. Generations. 2001;25(1):7–11.
Anderson GF. Physician, public, and policymaker perspectives on chronic conditions. Arch
Intern Med. 2003;163(4):437–442. Balsa A, et al. Does managed health care reduce health
care disparities between minorities and whites? J Health Econ. 2007;26(1):101–121. Brown
AF, et al. Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes
enrolled in managed care. Diab Care. 2005;28(12):2864–2870. Brown M. Mergers,
networking, and vertical integration: Managed care and investor-owned hospitals. Health
Care Manage Rev. 1996;21(1):29–37. Carson KD, et al. Management of Healthcare
Organizations. Cincinnati, OH: South-Western College Publishing; 1995. Centers for
Medicare and Medicaid Services (CMS). Managed care trends. 2010.
http://www.cms.gov/MedicaidDataSourcesGenInfo/downloads/2010Trends.pdf. Accessed
December 2011. Citro J, Hermanson S. Fact Sheet: Assisted Living in the United States.
Washington, DC: AARP; 1999. Claxton G, et al. The Kaiser Family Foundation and Health
Research and Educational Trust Employer Health Benefits 2011 Annual Survey. Menlo Park,
CA: Henry J. Kaiser Family Foundation/Chicago, IL: Health Research and Educational Trust;
2011. Cook BL. Effect of Medicaid managed care on racial disparities in health care access.
Health Serv Res. 2007;42(1 Pt 1):124–145. Correia EW. Accountable care organizations: The
proposed regulations and the prospects for success. Am J Managed Care. 2011;17(8):560–
568. Coughlin TA, et al. Does managed care improve access to care for Medicaid
beneficiaries with disabilities? A national study. Inquiry. 2008–2009;45(4):395–407.
DeFrancesco LB. HMO enrollees experience fewer disparities than older insured
populations. Findings Brief: Health Care Management System DiscussionHealth Care
Financing & Organization. 2002;5(2):1–2. DeLuca JM, Cagan RE. The integrated delivery
system. In CEO’s Guide to Health Care Information Systems. Chicago: Health Forum;
1998:35–46. Page 1 of 4 BUSI 511 Department of Health and Human Services. Health,
United States, 2010. Hyattsville, MD: U.S. Department of Health and Human Services; 2011.
DeVore S, Champion RW. Driving population health through accountable care organizations.
Health Affairs. 2011;30(1):41–50. Doty P, et al. Informal caregiving. In The Continuum of
Long-Term Care: An Integrated Systems Approach, edited by Evashwick CJ. Albany, NY:
Delmar Publishers; 1996:125–141. Duggan M, Hayford T. Has the Shift to Managed Care
Reduced Medicaid Expenditures? Evidence from State and Local-Level Mandates. Working
Paper No. 17236. National Bureau of Economic Research; 2011. Eikel CV. Fewer patient
visits under capitation offset by improved quality of care: Study brings evidence to debate
over physician payment methods. Findings Brief: Health Care Financing & Organization.
2002;5(3):1–2. Frank RG, Garfield RL. Managed behavioral health care carve-outs: Past
performance and future prospects. Ann Rev Public Health. 2007;28(1):303–320. Gabel J.
Ten ways HMOs have changed during the 1990s. Health Affairs. 1997;16(3):134–145.
Goldfarb B. Corporate health care mergers. Med World News. 1993;34(2):26–34. Graham
CL, et al. Fee-for-service and managed care for seniors and people with disabilities on
Medicaid: Implications for the managed care mandate in California. J Health Care Poor
Underserved. 2011;22(4):1413–1423. Henry J. Kaiser Family Foundation. Fact sheet:
Medicare Advantage. 2011. http://www.kff.org/medicare/upload/2052-15.pdf. Accessed
January 2012. Henry J. Kaiser Family Foundation. What’s in the starts? Quality ratings of
Medicare Advantage Plans, 2010. 2009. http://www.kff.org/medicare/upload/8025.pdf.
Accessed January 2012. Himmelstein D, et al. Quality of care in investor-owned vs not-for-
profit HMOs. Health Care Management System DiscussionJAMA. 1999;282(2):159–163.
Hofmann MA. Quality of health care improving. Bus Insurance. 2002;36(38):1–2. Iglehart JK.
The American health care system: Managed care. The Nation’s Health, 4th ed., edited by Lee
PR, Estes CL. Sudbury, MA: Jones and Bartlett; 1994:231–237. Kongstvedt PR. Managing
hospital utilization. In Essentials of Managed Health Care, edited by Kongstvedt PR.
Gaithersburg, MD: Aspen Publishers; 1995:121–135. Page 2 of 4 BUSI 511 Lakdawalla D, et
al. Forecasting the nursing home population. Med Care. 2003;41(1):8–20. Landon BE, et al.
Quality of care in Medicaid managed care and commercial health plans. JAMA.
2007;298(14):1674–1681. McGuire TG, et al. An economic history of Medicare Part C.
Milbank Quarterly. 2011;89(2):289–332. MetLife Mature Market Institute. The MetLife
National Study of Adult Day Services. Westport, CT: Metropolitan Life Insurance Company;
2010. Miller RH, Luft HS. HMO plan performance update: An analysis of the literature,
1997–2001. Health Affairs. 2002;21(4):63–86. Moscovice I, et al. Expanding rural managed
care: Enrollment patterns and perspectives. Health Affairs. 1998;17(1):172–179. National
Academy on an Aging Society. 2000. Caregiving: Helping the Elderly with Activity
Limitations. Washington, DC: National Academy on an Aging Society. National Association of
Home Care and Hospice. Basic statistics about home care. 2010.
http://www.nahc.org/facts/10HC_Stats.pdf. Accessed January 2012. National Center for
Assisted Living. Assisted living resident profile. 2006.
http://www.ncal.org/about/resident.cfm. Accessed August 2008. National Council on
Aging. Fact sheet: Senior centers. 2011.
http://www.ncoa.org/assets/files/pdf/FactSheet_SeniorCenters.pdf. Accessed January
2012. National Subacute Care Association. Definition of subacute care as developed and
approved by the NSCA board of directors. June 27, 1996.
http://www.nsca.net/info/definition.htm. O’Keeffe J, Siebenaler K. Adult Day Services: A
Key Community Service for Older Adults. Washington, Health Care Management System
DiscussionDC: U.S. Department of Health and Human Services; 2006. Ostir GV, et al.
Disability in older adults 1: Prevalence, causes, and consequences. Behav Med.
1999;24(4):147–156. Partnership for Solutions. Chronic Conditions: Making the Case for
Ongoing Care. Baltimore, MD: Johns Hopkins University; 2002. Pelfrey S, Theisen BA. Joint
venture in health care. J Nurs Admin. 1989;19(4):39–42. Rakich JS, et al. Managing Health
Services Organizations, 3rd ed. Baltimore, MD: Health Professions Press; 1992. Page 3 of 4
BUSI 511 Riley GF, et al. Stage at diagnosis and treatment patterns among older women
with breast cancer. JAMA. 1999;281:720–726. Robinson JC. Renewed emphasis on
consumer cost sharing in health insurance benefit design. Health Affairs Web Exclusives.
2002;W139–W154. Sahyoun NR, et al. Trends in causes of death among the elderly. In Aging
Trends. Hyattsville, MD: National Center for Health Statistics; March 2001. Sanofi-Aventis.
Managed Care Digest Series, 2011–2012: HMO-PPO Digest. Bridgewater, NJ: Sanofi-Aventis
US; 2011a. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Hospitals/Systems
Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011b. Sanofi-Aventis. Managed Care Digest
Series, 2011–2012: Public Payer Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011c.
Schneider EC, et al. Quality of care in for-profit and not-for-profit health plans enrolling
Medicare beneficiaries. Am J Med. 2005;118(12):1392–1400. Seff MK. Clearing up health
care myths. Golden Lifestyles. January–March 2003:7. Stahl C. Adult foster care: An
alternative to SNFs? ADVANCE for Occupational Therapists. September 29, 1997. Taylor M.
Revival of the fittest. Mod Healthcare. 2006;36(26):24–26. U.S. Census Bureau. Statistical
Abstract of the United States, 2010. Washington, DC: Government Printing Office; 2010.
Udvarhelyi IS, et al. Comparison of the quality of ambulatory care for fee-for-service and
prepaid patients. Health Care Management System DiscussionAnn Intern Med.
1991;115(5):394–400. Wagner ER. Types of managed care organizations. In Essentials of
Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers;
1995:24–34. Wan T, Weissert WB. Social support networks, patient status, and
institutionalization. Res Aging. 1981;3:240–256. Wilson FA, Neuhauser D. Health Services in
the United States, 2nd ed. Cambridge, MA: Ballinger Publishing; 1985. Zawadski RT, Eng C.
Case management in capitated long-term care. Health Care Financing Review Annual
Supplement. December 1988:75–81. Page 4 of 4 Topic: Health Care Systems – Part II 1. An
introductory paragraph on the topic 2. Explain the growth of managed care that began in
the 1980s. 3. As a result, how has health care delivery evolved? 4. What role do hospitals
have in advancing continuous quality improvement (CQI) health outcomes and modernizing
U.S. healthcare delivery models? 5. Conclusive paragraph: Based on the literature, what
does the future hold? Note: Make sure you use 20 citations and references from the
references from the file attached to this text and chapters 9 and 10 of the book from Shi and
Singh (Essentials of U.S. Health Care Delivery)—making the total 21 sources. 7. The word
count should be 700

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Health Care Management System Discussion.pdf

  • 1. Health Care Management System Discussion Health Care Management System Discussion ON Health Care Management System DiscussionThe files attached will explain your role in this assignment. Tutor must present a word document with 700 words.additional_references.docforum_6_discussion_instructiUnformatted Attachment PreviewBUSI 511 MODULE/WEEK 6 ADDITIONAL READING AARP studies adult foster care for the elderly. Public Health Rep. 1996;111(4):295. Alecxih L. 2001. The impact of sociodemographic change on the future of long-term care. Generations. 2001;25(1):7–11. Anderson GF. Physician, public, and policymaker perspectives on chronic conditions. Arch Intern Med. 2003;163(4):437–442. Balsa A, et al. Does managed health care reduce health care disparities between minorities and whites? J Health Econ. 2007;26(1):101–121. Brown AF, et al. Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care. Diab Care. 2005;28(12):2864–2870. Brown M. Mergers, networking, and vertical integration: Managed care and investor-owned hospitals. Health Care Manage Rev. 1996;21(1):29–37. Carson KD, et al. Management of Healthcare Organizations. Cincinnati, OH: South-Western College Publishing; 1995. Centers for Medicare and Medicaid Services (CMS). Managed care trends. 2010. http://www.cms.gov/MedicaidDataSourcesGenInfo/downloads/2010Trends.pdf. Accessed December 2011. Citro J, Hermanson S. Fact Sheet: Assisted Living in the United States. Washington, DC: AARP; 1999. Claxton G, et al. The Kaiser Family Foundation and Health Research and Educational Trust Employer Health Benefits 2011 Annual Survey. Menlo Park, CA: Henry J. Kaiser Family Foundation/Chicago, IL: Health Research and Educational Trust; 2011. Cook BL. Effect of Medicaid managed care on racial disparities in health care access. Health Serv Res. 2007;42(1 Pt 1):124–145. Correia EW. Accountable care organizations: The proposed regulations and the prospects for success. Am J Managed Care. 2011;17(8):560– 568. Coughlin TA, et al. Does managed care improve access to care for Medicaid beneficiaries with disabilities? A national study. Inquiry. 2008–2009;45(4):395–407. DeFrancesco LB. HMO enrollees experience fewer disparities than older insured populations. Findings Brief: Health Care Management System DiscussionHealth Care Financing & Organization. 2002;5(2):1–2. DeLuca JM, Cagan RE. The integrated delivery system. In CEO’s Guide to Health Care Information Systems. Chicago: Health Forum; 1998:35–46. Page 1 of 4 BUSI 511 Department of Health and Human Services. Health, United States, 2010. Hyattsville, MD: U.S. Department of Health and Human Services; 2011. DeVore S, Champion RW. Driving population health through accountable care organizations.
  • 2. Health Affairs. 2011;30(1):41–50. Doty P, et al. Informal caregiving. In The Continuum of Long-Term Care: An Integrated Systems Approach, edited by Evashwick CJ. Albany, NY: Delmar Publishers; 1996:125–141. Duggan M, Hayford T. Has the Shift to Managed Care Reduced Medicaid Expenditures? Evidence from State and Local-Level Mandates. Working Paper No. 17236. National Bureau of Economic Research; 2011. Eikel CV. Fewer patient visits under capitation offset by improved quality of care: Study brings evidence to debate over physician payment methods. Findings Brief: Health Care Financing & Organization. 2002;5(3):1–2. Frank RG, Garfield RL. Managed behavioral health care carve-outs: Past performance and future prospects. Ann Rev Public Health. 2007;28(1):303–320. Gabel J. Ten ways HMOs have changed during the 1990s. Health Affairs. 1997;16(3):134–145. Goldfarb B. Corporate health care mergers. Med World News. 1993;34(2):26–34. Graham CL, et al. Fee-for-service and managed care for seniors and people with disabilities on Medicaid: Implications for the managed care mandate in California. J Health Care Poor Underserved. 2011;22(4):1413–1423. Henry J. Kaiser Family Foundation. Fact sheet: Medicare Advantage. 2011. http://www.kff.org/medicare/upload/2052-15.pdf. Accessed January 2012. Henry J. Kaiser Family Foundation. What’s in the starts? Quality ratings of Medicare Advantage Plans, 2010. 2009. http://www.kff.org/medicare/upload/8025.pdf. Accessed January 2012. Himmelstein D, et al. Quality of care in investor-owned vs not-for- profit HMOs. Health Care Management System DiscussionJAMA. 1999;282(2):159–163. Hofmann MA. Quality of health care improving. Bus Insurance. 2002;36(38):1–2. Iglehart JK. The American health care system: Managed care. The Nation’s Health, 4th ed., edited by Lee PR, Estes CL. Sudbury, MA: Jones and Bartlett; 1994:231–237. Kongstvedt PR. Managing hospital utilization. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:121–135. Page 2 of 4 BUSI 511 Lakdawalla D, et al. Forecasting the nursing home population. Med Care. 2003;41(1):8–20. Landon BE, et al. Quality of care in Medicaid managed care and commercial health plans. JAMA. 2007;298(14):1674–1681. McGuire TG, et al. An economic history of Medicare Part C. Milbank Quarterly. 2011;89(2):289–332. MetLife Mature Market Institute. The MetLife National Study of Adult Day Services. Westport, CT: Metropolitan Life Insurance Company; 2010. Miller RH, Luft HS. HMO plan performance update: An analysis of the literature, 1997–2001. Health Affairs. 2002;21(4):63–86. Moscovice I, et al. Expanding rural managed care: Enrollment patterns and perspectives. Health Affairs. 1998;17(1):172–179. National Academy on an Aging Society. 2000. Caregiving: Helping the Elderly with Activity Limitations. Washington, DC: National Academy on an Aging Society. National Association of Home Care and Hospice. Basic statistics about home care. 2010. http://www.nahc.org/facts/10HC_Stats.pdf. Accessed January 2012. National Center for Assisted Living. Assisted living resident profile. 2006. http://www.ncal.org/about/resident.cfm. Accessed August 2008. National Council on Aging. Fact sheet: Senior centers. 2011. http://www.ncoa.org/assets/files/pdf/FactSheet_SeniorCenters.pdf. Accessed January 2012. National Subacute Care Association. Definition of subacute care as developed and approved by the NSCA board of directors. June 27, 1996. http://www.nsca.net/info/definition.htm. O’Keeffe J, Siebenaler K. Adult Day Services: A
  • 3. Key Community Service for Older Adults. Washington, Health Care Management System DiscussionDC: U.S. Department of Health and Human Services; 2006. Ostir GV, et al. Disability in older adults 1: Prevalence, causes, and consequences. Behav Med. 1999;24(4):147–156. Partnership for Solutions. Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns Hopkins University; 2002. Pelfrey S, Theisen BA. Joint venture in health care. J Nurs Admin. 1989;19(4):39–42. Rakich JS, et al. Managing Health Services Organizations, 3rd ed. Baltimore, MD: Health Professions Press; 1992. Page 3 of 4 BUSI 511 Riley GF, et al. Stage at diagnosis and treatment patterns among older women with breast cancer. JAMA. 1999;281:720–726. Robinson JC. Renewed emphasis on consumer cost sharing in health insurance benefit design. Health Affairs Web Exclusives. 2002;W139–W154. Sahyoun NR, et al. Trends in causes of death among the elderly. In Aging Trends. Hyattsville, MD: National Center for Health Statistics; March 2001. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: HMO-PPO Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011a. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Hospitals/Systems Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011b. Sanofi-Aventis. Managed Care Digest Series, 2011–2012: Public Payer Digest. Bridgewater, NJ: Sanofi-Aventis US; 2011c. Schneider EC, et al. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005;118(12):1392–1400. Seff MK. Clearing up health care myths. Golden Lifestyles. January–March 2003:7. Stahl C. Adult foster care: An alternative to SNFs? ADVANCE for Occupational Therapists. September 29, 1997. Taylor M. Revival of the fittest. Mod Healthcare. 2006;36(26):24–26. U.S. Census Bureau. Statistical Abstract of the United States, 2010. Washington, DC: Government Printing Office; 2010. Udvarhelyi IS, et al. Comparison of the quality of ambulatory care for fee-for-service and prepaid patients. Health Care Management System DiscussionAnn Intern Med. 1991;115(5):394–400. Wagner ER. Types of managed care organizations. In Essentials of Managed Health Care, edited by Kongstvedt PR. Gaithersburg, MD: Aspen Publishers; 1995:24–34. Wan T, Weissert WB. Social support networks, patient status, and institutionalization. Res Aging. 1981;3:240–256. Wilson FA, Neuhauser D. Health Services in the United States, 2nd ed. Cambridge, MA: Ballinger Publishing; 1985. Zawadski RT, Eng C. Case management in capitated long-term care. Health Care Financing Review Annual Supplement. December 1988:75–81. Page 4 of 4 Topic: Health Care Systems – Part II 1. An introductory paragraph on the topic 2. Explain the growth of managed care that began in the 1980s. 3. As a result, how has health care delivery evolved? 4. What role do hospitals have in advancing continuous quality improvement (CQI) health outcomes and modernizing U.S. healthcare delivery models? 5. Conclusive paragraph: Based on the literature, what does the future hold? Note: Make sure you use 20 citations and references from the references from the file attached to this text and chapters 9 and 10 of the book from Shi and Singh (Essentials of U.S. Health Care Delivery)—making the total 21 sources. 7. The word count should be 700