Assignment: New Health Care Delivery Models

Want create site? With you can do it easy.

Assignment: New Health Care Delivery Models

Assignment: New Health Care Delivery Models

Don't use plagiarized sources. Get Your Custom Essay on
Assignment: New Health Care Delivery Models
From $8/Page
Order Essay

Tutor MUST have a good command of the English language

Each post should average 150-250 words

Each post should include appropriate foundation knowledge, be factual, and enhance the ongoing dialogue. Each post should demonstrate either the application and/or reflection of knowledge. Your responses should expand on a classmate’s comments or advance the dialogue through follow-up questions Your responses should be open-ended to encourage continuing the conversation. Very few grammatical/spelling errors

These are two discussion questions

DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their reference page

My project is CLABSI prevention

DQ 1

New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings. Describe a new health care delivery model and discuss whether or not it is sustainable.

DQ 2

Two major models of care exist, for-profit and not-for-profit? Does one or the other provide more ethical care? Why or why not?

HMO
What does it stand for? HMO stands for Health Maintenance Organization.
What it is: You must normally choose primary care physician (or “PCP”) from local network of health care providers under an HMO plan. 
You must see this provider first if you become ill or injured.
If your primary care physician is unable to offer the care you require, they will refer you to specialist who is also member of local network. 
Your primary care physician (PCP) acts as your health-care “quarterback,” organizing your treatment and guiding you to the appropriate resources.
Bob, for example, is suffering from back pain. 
He goes to his primary care physician for checkup. 
Bob’s PCP decides that seeing chiropractor is the best course of action. 
Bob’s PCP writes reference for him to see one of the chiropractors in Bob’s network.
HMO plans are often less expensive than other types of insurance.
HMO patients are limited to network, and they cannot see specialist without referral, nor can they obtain coverage for services acquired outside of the network.
Preferred Provider Organization (PPO) is the abbreviation for Preferred Provider Organization.
What it is: PPO plan normally does not necessitate the use of primary care physician. 
Your plan will feature network of different health care providers, including both generalists and specialists, and patients will be able to see any of those providers without needing referral. 
Out-of-network care is covered, unlike in an HMO, however it is usually more expensive.
Susan, for example, is suffering from stomach pain and digestive issues. 
She has the option of scheduling an appointment with any provider in her network. 
She can see any general practitioner in her network if she believes general practitioner can diagnose and treat her. 
Alternatively, if she prefers to see specialist, she can skip the general practitioner and schedule an appointment with one of the gastroenterologists in the network. 
Alternatively, she is free to see provider outside of her network. 
While the visit is still covered, it will be more expensive than seeing provider who is in your network.
Advantage: PPO members have more flexibility than those with other types of plans since they can go to any provider in the network without needing referral.
Disadvantage: PPO plan’s enhanced flexibility usually comes at higher cost. 
While PPO consumers have the option of visiting doctors outside of the network, doing so may result in reduction in coverage.
POS
What does it stand for? 
Points of Sale
What it entails: 
Point of Service plan is cross between an HMO and PPO, integrating aspects of both. 
In similar way to how an HMO works, patients choose primary care physician who makes referrals within the network. 
When POS patient leaves the network, the plan functions more like PPO, with the patient still being covered but at higher premium.
Laura, for example, is experiencing joint pain and makes an appointment with her Primary Care Provider. 
Laura is referred to specialist by her PCP after she has been evaluated. 
Laura can see that specialist or seek out specialist outside of her plan’s network on her own.
Advantage: POS plan offers even more flexibility than other plan types because it allows you to receive care inside or outside of the network.
Access to specialized care, like with an HMO, requires referral.
stethoscope and prescription are required.
EPO
Exclusive Provider Organization is what it stands for.
What it is: An Exclusive Provider Organization, like POS, combines aspects of HMO and PPO insurance. 
Patients in an EPO plan do not need primary care physician or referrals to see specialists, but they are limited to network of providers, much like in an HMO.
Greg, for example, has knee difficulties and may require surgery. 
He can see any knee specialist he wants without needing referral, as long as the physician is in his plan’s network.
EPO plans have the advantage of providing access to specialty treatment without the need for referrals.
Because of the network, specialized care may be limited.
PFFS
Private Fee-for-Service is what it stands for.
What is Private Fee-for-Service Plan? Private Fee-for-Service Plan is type of Medicare Advantage plan. 
In PFFS plan, the level of cost-sharing between the beneficiary and the health-care provider is determined by the insurance company providing the plan. 
Patients in PFFS plans are not required to see primary care physician or obtain referral before seeing specialist. 
PFFS plan may or may not have provider network.
Mark, for example, has sprained ankle and needs medical attention. 
He is free to see any health care professional who has agreed to accept Mark’s insurance company’s payment terms.
The lack of network in many PFFS plans is an advantage. 
Patients may still be able to receive care outside of the network under the same payment terms if the health care provider agrees.
Disadvantage: There is no certainty that health care provider will accept the insurance company’s payment terms for PFFS.
Family members of all ages are beaming.
SNP
Special Needs Plan is what it stands for.
What is Special Needs Plan? Special Needs Plan is form of Medicare Advantage plan that only accepts patients with particular conditions or health-care needs. 
In an SNP, the benefits offered and the list of participating providers are adjusted to meet the beneficiaries’ individual needs. 
SNPs usually necessitate the presence of primary care physician or, at the very least, the presence of care coordinator who will function in similar capacity. 
For the majority of treatment, most Special Needs Plans require referral to specialist.
Anita, for example, suffers from End-Stage Renal Disease, which is one of the diseases covered by SNPs. 
Anita can obtain care from network of clinicians, suppliers, and facilities that specialize in treating End-Stage Renal Disease whether she needs an assessment, therapy, or any other service or product.
Advantage: Special Needs Plan can give the specialized and tightly targeted care that patients with certain health issues demand.
SNPs may not be available where you reside, which is disadvantage.
ACO
Accountable Care Organizations is what it stands for.
What is an Accountable Care Organization? An Accountable Care Organization is collection of health-care professionals who have voluntarily joined together to provide coordinated care to Medicare and Medigap patients. 
An ACO’s purpose is to give beneficiaries (especially chronic illness participants) with streamlined care that reduces duplication of effort and improves communication between participating physicians.
Henry, for example, is under the care of an ACO and is suffering from an asthmatic problem. 
Henry’s medical team consults with one another to review his previous treatments, testing, and present problems. 
The team then devises strategy for Henry and steers him in the right direction.
Advantages: Because of the coordinated efforts of health care providers who are invested in the cause, ACOs can provide better care quality.
Assignment: New Health Care Delivery Models

Disadvantages: Some claim that accountable care organizations (ACOs) do not empower patients and do not effectively solve the issues that the fee-for-service model was supposed to address.
Did you find apk for android? You can find new and apps.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 20% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Top Writers 4Me
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Introduction to Sociology
Thank you very much for all of your hard work!
Customer 452483, October 15th, 2021
Psychology
Thank you so much for all of your hard work & help! It’s perfect! Appreciate it!!
Customer 452483, September 11th, 2021
Healthcare Writing & Communications
Perfect! Thank you for also remembering to highlight the necessary words. Appreciate all of your help and hard work!
Customer 452483, November 7th, 2021
Communications
Well done! I thank you very much!
Customer 452483, July 9th, 2021
Nursing
Good job! Thank you.
Customer 452487, October 26th, 2021
Mathematics
Thank you, great work!
Customer 452483, July 19th, 2021
Psychology
On point! Appreciate all the hard work!!
Customer 452483, August 16th, 2021
Nursing
Excellent writing !! Definitely I will use your services again... Thank you.
Customer 452487, August 22nd, 2021
Other
I appreciate the help.
Customer 452567, March 18th, 2022
Mathematics
PERFECT! Thanks a million, you're all awesome!!!!
Customer 452483, July 7th, 2021
Communications
Thank you so much!
Customer 452461, June 23rd, 2021
Psychology
Thank you for all of your help and hard work, truly appreciate you guys always being there with my hectic schedule. Thank you again!
Customer 452483, September 20th, 2021
1159
Customer reviews in total
96%
Current satisfaction rate
2 pages
Average paper length
47%
Customers referred by a friend
OUR GIFT TO YOU
20% OFF your first order
Use a coupon TOP20 and enjoy expert help with any task at the most affordable price.
Claim my 20% OFF Order in Chat