Managed Care Assignment

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HLT 205 Week 4 Assignment Managed Care

Managed Care Assignment Details:

The most powerful force shaping the U.S. health care delivery system is managed care. As a health care professional, it is vital that you understand the managed care system, as it impacts all stakeholders. The purpose of this assignment will be for you to demonstrate your knowledge of managed care through a PowerPoint presentation that explains the following:

  • An explanation of what a managed care organization (MCO) is and how MCOs
  • evolved.
  • The identification of the accrediting bodies for MCOs and an explanation of the types of care they oversee.
  • A description of managed care plans, such as HMOs and PPOs.
  • An explanation of the impact of MCOs on cost, access, and quality.
  • An explanation of what an accountable care organization is and its relationship to MCOs.

The PowerPoint presentation will be comprised of 10-12 slides with detailed speaker notes containing in-text citations.

Three references (minimum) in addition to your text book are required for this assignment.

While GCU style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using GCU documentation guidelines, which can be found in the GCU Style Guide, located in the Student Success Center. Managed Care Assignment

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Managed Care Assignment

Pharm 542:  Managed Care Pharmacy: Principles & Practice

This course surveys the activities, tactics, & strategies used by managed care to deliver pharmacy services to their members.  Includes: formulary development, clinical improvement programs, quality improvement measures, regulatory activities, contracting with pharmaceutical manufacturers network management, financial issues, sales & marketing, & provider relations.  Class 2,3 & 4 Pharm D. students.  3 credits.

2nd rev

Special Project (preliminary information).

  • Students taking part in the Regional P&T Competition:
    Your submission will count as your Special Project and be evaluated for 542 as well. You are required to submit written materials and make a presentation on Saturday January 17 
  • Other students: you will form teams of 4 and have a special project related to a current challenge in Managed Care.
    The special project will include writing a monograph for the new Hepatitis C Drug Viekira, making a progress report, and making a class presentation (PowerPoint) later in the quarter.
    Part of your assignment will be to attend a few presentations on Saturday January 17
    (AMCP Competition) to get ideas
    about how to make an effective technical presentation!)

Module 05 Written Assignment – Trends in Managed Care

Throughout the course, you have been learning about managed care, both past and present. Conduct additional research on trends happening in managed care today. The following websites are a great place to start:
Centers for Medicare & Medicaid Services

  • Kaiser Family Foundation (Search for the series on health care marketplace trends.)
  • You can also visit the following videos related to managed care trends:
  • Managed Care contracting and Payer Scorecards
  • Monitoring Performance: A Dashboard of Medi-Cal Managed Care
  • After conducting your research, construct a 2-page report of your findings. At a minimum, your report should
  • Identify at least two trends that you feel have a great impact on managed health care today.
  • Discuss the effect these trends have on managed care.
  • Explain how these trends will continue to influence managed care in the future.
  • Evaluate the potential impact on government and state sponsored, Medicare and Medicaid programs.
  • Analyze and provide at least two reasons why implementing Medicaid managed care is so complex.

Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Please help with my homework! And please no plagiarism, I will appreciate the help. Thank you!

Assignment 3: The Implications of Managed Care on the U.S. Healthcare System

Managed health care emerged in the early 19th century in response to the growing cost of medical services in the United States. It is an ever-evolving approach to combining the financing and delivery of health care that seeks to manage costs, increase access, and ensure or improve quality of care through a variety of methods, including provider network management, utilization management, and quality assurance.

Write a three to four (3-4) page paper in which you:

  • Describe the evolution of managed care and the forces that have driven its evolution.
  • Explain how managed care influences access to and utilization of healthcare services within the current healthcare system.
  • Evaluate the efficacy of managed care plans in containing healthcare costs.
  • Differentiate and compare at least three (3) models of managed care organizations.

Summarize at least one (1) managed care trend (i.e., evolving mixed models, managed Medicaid, managed Medicare) and appraise how this trend will affect managed care’s overall goal of managing costs, increasing access, and ensuring quality in the delivery of healthcare.

Use at least three (3) recent (i.e., last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Use at least three (3) recent (i.e., last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Evaluate the shifts in multi-provider healthcare systems and its impact on market segments.
  • Assess how changes in the economic and commercial environments have affected the health sector.
  • Use technology and information resources to research issues in Health Care Operations Management.
  • Write clearly and concisely about Health Care Operations Management using proper writing mechanics.
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