The Future Of Managed Health Care Delivery System...

The Future of Managed Health Care Delivery System: Accountable Care Organization Veronica L Nelson MHA 628: Managed Care Contractual Services Dr. Hwang-Ji Lu June 1, 2015 Abstract The health restructuring dispute has centered on compensating providers particularly more when delivering quality care to their patients than for enhancing the volume of services they provide (Ries, 2014) Accountable care organizations (ACOs) is a single proposed way of altering compensation methods to accomplish this objective by generating encouragement to enhance care coordination and clinical integration (Thygeson, Frosch, and Carman, 2014). Accountable care organizations (ACOs) try to find to ways to redesign the method of care is†¦show more content†¦Providers could shape these ACOs willingly. On the other hand, they could be practical ACOs acknowledged during analysis of claims data showing shared use of medical services in a population served by hospitals and their medical staffs (Fisher, Shortell, Kreindler, Van Citters, and Larson, 2012). Wu, (2014) promote the last method and create the set of circumstances for Medicare to set ACO payments to have hospital medical staff extended components describe empirically found on declares information. The viewpoint of their proponents, there is a difference from historical managed care arrangements in ACOs predominantly HMOs since they are centered around providers ahead of insurers and usually are not detained at complete monetary peril for the price of health care. In an ideal world, ACO payment approaches will include improvements in quality of care measurement that take into account the range of service delivery ACOs are designed to provide. If legislated, nationally health reform could most likely include more or less research with ACO incentives. On November 7th , 2009 the United States House of Representatives passed, the Affordable Healthcare for America Act (H.R. 3962) which called for pilot payment incentive that would encourage ACOs in both Medicaid and Medicare, along with other policies on payments alterations and authorized demonstrations and pilots (Huntington, Covington, Center, Covington, and Manchikanti,Show MoreRelatedIn 2010, The Patient Protection And Affor dable Care Act1514 Words   |  7 Pagesand Affordable Care Act (PPACA) has turned into law which impacts the health care system, expands the nurse’ role, and alters the practice of nursing and patient care delivery. The reform has shifted more nursing jobs from the acute care facilities to the communities’ settings. PPACA stresses in three new care delivery models, which include: Accountable Care Organizations (ACOs), Medical Homes, and Nurse-Managed Health Clinics. The ACO is a concept that a complex of health care professionals, primaryRead MoreThe Importance Of The Patient Protection And Affordable Care Act916 Words   |  4 PagesProtection and Affordable Care Act is to improve the quality of care and reduce costs to all Americans, through the transforming the healthcare delivery system. Nurses are always on the first line of the patient care and the major workforce for this transition. The impressions of the anticipated the change of the health care delivery system, nurses face the challenge and opportunities. Three health care models Medical homes, accountable care organizations (ACO), and nurse-managed health clinics (NMHC) discussedRead MoreExpected Changes And Growth Of The Nursing Field Essay1484 Words   |  6 Pagessigned the Affordable Care Act. The law put in place comprehensive health insurance reforms that put consumers back in charge of their health care. A new wave of powerful evidence points to one clear conclusion: The Af fordable Care Act is working to make health care more affordable, accessible and of a higher quality, for families, seniors, businesses, and taxpayers alike†. â€Å"By creating incentives for integrated care delivery models and paying for coordination and quality of care, the law seeks to rebalanceRead MoreEvolving Practice Of Nursing And Patient Care Delivery Models977 Words   |  4 PagesEvolving Practice of Nursing and Patient Care Delivery Models. Speech To my fellow nurses. You are welcome to our professional nurse evolution summit. The United health care system is changing with the nursing profession. Health care cost has doubled, if not tripled in the recent years. The American population is ageing and diseases are becoming more complex. The Patient Protection and Affordable Care Act (PPACA) is one thing that will lead to change worldwide. With signing the PPACA into law, approximatelyRead MoreEvolving Practice Of Nursing And Patient Care Delivery Models1613 Words   |  7 PagesPractice of Nursing and Patient Care Delivery Models Nurses are important contributors to the attainment of evolving patient-focused care delivery models. Nurses’ training, talents, experiences, and professional opportunity make them vital to the execution of these processes. The focus on nursing is evolving and extending just like the nurse’s main role in patients’ wellbeing and welfare. This essay will address how the increasing role of U.S. nurses in an evolving health care framework will be significantRead MoreEvolving Practice of Nursing and Patient Care Delivery Models682 Words   |  3 PagesEvolving Practice of Nursing and Patient Care Delivery Models: Healthcare is one of the greatest growing professions across the globe because of the increase in population, rising healthcare costs, and increase in the demand for nurses. As the United States continues to focus on restructuring its health care delivery system, the practice of nursing and its professionals will continue to play an important role. As a result, there are huge expectations that more nursing jobs will become availableRead MoreHistory Of Managed Care And Health Maintenance Organizations1034 Words   |  5 Pagesin the Military a very familiar with managed care, we may not totally understand the concept of managed cared but are recipients of it daily. Unless there is a heated political debate about health care reform we usually don’t worry about health care reform. Health care cost is not something that we worry about; after all the government takes care of all our medical needs, even when we are seen out on the economy. The only time we might the troubles of health cost might visit our door steps occurRead MoreCost Containment, And Quality Of Care1646 Words   |  7 Pagesand being the largest care delivery system, it is hard to ignore their presence in the ever changing health care delivery system. Some say, that where Medicare goes, private payers will follow. Today, hospitals, health systems and other providers have been highly influenced by Medicare. Medicare, Medicaid, the Children s Health Insurance Program, and the Health Insurance Marketplace are leading the way in the movement to provide coverage under this system. As the Affordable Care Act is ironed out,Read MorePractice Of Nursing1517 Words   |  7 Pagesprospects that will be linked to a greater role that nurses have to play. This is not restricted to acute care settings like hospitals however is going to outspread to other settings. The author of this essay will confer the anticipated modifications in the practice of nursing in deference to the conception of continuum of care, nurse managed health care clinic (NMHC), accountable care organization (ACO), medical homes and other nurses’ reviews on it. The United States population is increasing gettingRead MoreEssay on Different Types of Managed Care1020 Words   |  5 Pagesinterest in integrated delivery systems (IDS). However, this is not a new concept. Shortell and McCurdy (2010) define IDS as a â€Å"network of organizations that directly provides or arranges to provide a coordinated continuum of services to a defined population and is able and willing to be held accountable for the cost, quality and outcomes of care and, the health status of the population served†(p.370). Today, many healthcare providers believe in the integrated delivery system; in fact, Strandberg-Larsen

A Mother/Daughter Conflict in Amy Tans Two Kinds and...

Amy Tans Two Kinds and Best Quality depict a struggling and often stressful relationship between a defiant daughter and an overbearing mother. June Mei and her mother Suyuan engage in a destructive battle between what is possible and what is realistic. June, although headstrong, seeks her mothers approval and adoration. Suyuan, although patronizing, yearns for her daughters obedience and best qualities. The relationship between mother and daughter falls victim to tension inherent in any mother/daughter struggle, especially between first-generation American daughters and their immigrant mothers (Yglesias 1). Their inability to understand one another largely stems from cultural differences; Suyuan is a Chinese woman who flees to†¦show more content†¦In Two Kinds, the conflict between Suyuan and June culminates after Junes piano fiasco when she decides she will no longer play. After Suyuans insistent struggle to get June to play the piano, the ultimate communicational barrier i s stressed. June shouts through belligerent sobs at her mother, You want me to be something that Im not! Ill never be the kind of daughter you want me to be! Suyuan shouts back in Chinese bellowing, Only two kinds of daughters ... obedient or follow own mind! ... Only one kind of daughter can live in this house. Obedient kind! (Tan 153). These two kinds of daughters suggest Suyuans cultural expectations and customs which contributes to the cultural net; her shouts in Chinese cause the communicational net, ending with the mother and daughter struggle. June responds with a devastating proclamation, leaving her mother, like her hopes, blowing away like a small brown leaf, thin, brittle, lifeless. As a result of Junes iron-will to assert her individuality, she fails her mother many times in the following years, including at a crab dinner twenty years later in Best Quality. At the beginning of the meal, everyone selects a crab until the last two are left for Suyuan and June. June, thinking it is the best and right thing to do, opts for the worst crab. However, Suyuan insists she take the better of the two crabs: I knew I could not refuse ... thats the way Chinese mothers show they love their children, not through hugs andShow MoreRelatedTwo Kinds Character Analysis Essay935 Words   |  4 Pages A mother’s belief in the American dream causes her to incessantly encourage her daughter to be an Americanized prodigy in Amy Tan’s Two Kinds. An immigrant from China, where she lost everyone and everything in her life, Jing-mei’s mother sets about training her daughter to achieve the best quality of life America can offer. At first excited, Jing-mei, tries everyt hing her mother sets before her. The conflict arises when Jing-mei begins to feel the effects of her failed attempts and her mother’sRead MoreEssay on The Duality of the American Dream in Amy Tan’s Two Kinds1055 Words   |  5 PagesAmerican dream can be found in Amy Tan’s short story, â€Å"Two Kinds.† The story centers around the daughter of a Chinese immigrant who desperately wants her daughter to become successful. In the story, the author shows the difficult lives immigrants face when moving to a new culture. In this short story, the theme shows the protagonist’s conflict with her mother on the type of daughter her mother wants her to be. The author establishes the theme of how difficult mother-daughter relationships can be throughRead MoreTwo Kinds by Amy Tan Essay1820 Words   |  8 PagesTwo Kinds is a story about mother-daughter relationship Ââ€" Suyuan and Jing-mei. Suyuan believed that America is where her dreams will be fulfilled. She thought that her daughter, Jing-mei, would be the one to realize them. Jing-mei, on the other hand, was a confused child at first. She was led to believe that she can be someone. At first, she followed her mother, but when she felt that her mother was already forcing her and stealing her youth, she told herself that it was the end. The story is aRead MoreAnalysis Of Two Kinds By Amy Tan1185 Words   |  5 PagesAmy Tan’s short story â€Å"Two Kinds† describes a Chinese immigrant family who hope of finding success and an overall betterment of life in America. After losing everything in China, Jing-mei’s mother, Mrs. Woo, tries as a minority house maid in the 1960s to provide all the opportunities she can for her last daughter. This short story revolves around the interactions between the Jing-mei, who desires a ordinary life, and Mrs. Woo, who seeks only the best from her daughter. The values of these two charactersRead More Mother-Daughter Conflict in Amy Tans The Joy Luck Club Essay2944 Words   |  12 Pagessecond generation Chinese-Americans who resist and are ashamed of their heritage. Amy Tan in The Joy Luck Club dramatizes this conflict which arises between the first and the second generations through sixteen stories of four mothers and four American-born daughters. Tan succeeds in showing the strength of the mother-daughter bond from China to America despite the cultural and linguistic differences between Chinese mothers and Chinese-Americans daughther through the immigrant narrative. The ChineseRead MoreThe Joy Luck Club, The Bonesetter s Daughter, And The Kitchen God s Wife3745 Words   |  15 Pagesoffer for these new incoming families, this country also has cultural conflicts that clash between their natural traditions and modernity. In the novels, The Joy Luck Club, The Bonesetter’s Daughter, and The Kitchen God’s Wife, Amy Tan creates the broken relationships of immigrant mothers and their â€Å"Americanized† daughters who struggle in social barriers they both face as they live in the new setting. Amy Tan analyzes mother-daughter relationships between character’s lovers and friends and how they developRead MoreEssay on Success and Failure in Two Kinds by Amy Tan1889 Words   |  8 PagesAmy Tan, a child of Chinese immigrants, wrote the story â€Å"Two Kinds†, telling the tale of a Jing-Mei’s rebellion against her mother’s desire to change her into a prodigy. As Jing-Mei’s mother continually tells he r she does not try hard enough to succeed, the conflict between Jing-Mei and her mother escalates. Jing-Mei grows more stubborn, making every effort to resist her mother, and the relationship devolves into a standoff where mother and daughter both refuse to budge from their position. â€Å"Two

Healthcare Museum Free Essays

Sandra Huppenbauer Healthcare has been and will always be a growing industry from new vaccines to new diseases. We would like to create a non-profit organization and open a Health Care Hall of Fame Museum. In this museum we will have various exhibits that have changed healthcare. We will write a custom essay sample on Healthcare Museum or any similar topic only for you Order Now I will give you a brief description of five that play a huge role in public health today. Public Health Vaccine First exhibit would be vaccine in the United States. Public health efforts have gained strength as the nation grew toward independence in the 1700s. World’s first vaccine was for smallpox in the 1970’s created by Edward Jenner. There were several events that helped better shape public health. There was a huge epidemic in 1793 yellow fever broke out in Philadelphia following the nations capital. Soon after congress had charged MHS with examining passengers on ships coming in that might have infectious diseases specifically for cholera and yellow fever. Also in1870’s and 1880’s scientist in Europe gave evidence that microscopic organism were the issue of several infectious diseases. Moving forward to our latest era in 2008 through legislation enacted by Congress, NICHD be renamed the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the institute’s 45th anniversary celebration Birth The second exhibit we would love to show case would be giving birth. Delivering babies has had a tremendous change in the healthcare industry. Starting back in the Middle Ages and renaissance. Barber-surgeons began trying monopolizing childbirth services. Women in that day and age were forbidden to practice medicine or midwifery, many midwives were accused of  being witches and killed. Men were only allowed in medical schools. Barger-surgeon delivered most babies. In 17l6 New York City required licensing of midwives. Licenses placed the midwife in the role of servant of the state, a keeper of social and civil order. Around the turn of century late 1800’s anesthesia was introduced. By 1920, doctors believed that â€Å"normal† deliveries were so rare that interventions should be made during every labor to stop trouble. 1930 The American Board of Obstetricians and Gynecology was established. This is just the for front of the timeline in the healthcare industry. There is a huge time line dating way back that would be great information in a hall of fame museum. To educate the public in birthing and what it has become today. Government Third exhibit is how the government plays a huge role in public health. Prior to the great depression dated from 1929-41. United states citizens did not agree that the federal government should have any part with citizen’s health. But during the Great Depression the U.S citizens became desperate since then the governments role in the public health has expanded. Since that accrued two sections from the constitution were taken as allowing the federal government to intervene in the nation’s health. The first is the ability to tax people to provide for the â€Å"general welfare.† This allows for the collection of money to be used in support of health programs. Second, the federal government has the ability to regulate commerce. The government can implement policies that limit the personal and property rights of individuals or businesses. This authority allows the rules and regulations of restaurants, sewage and water companies, product and drug safety, and other businesses that sell products to consumers. As citizens we go about our life not knowing the background or history in what we use in an everyday life the government has changed public healthcare drastically this is just a brief insight to what the government has done. Technology Over centuries, healthcare has changed the face of healthcare with new medical developments and techniques. For thousands of years, people have been playing, planning, and exploring with the hopes to find the mystery of the human body. Public health has always combined the best form in treating cancer, delivering babies to dealing with heart attacks. Doctors and  scientist have developed technology and improved techniques. The issue that doctors in this era face is broken medical systems and the right insurance company. Doctors will become better at tackling health problems and new techniques with technology as biomedical research improves. Still on going but improving, the three main changes that are revolutionizing public health today are electronic medical records, clinical practice and population science. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. Healthcare continues to evolve and so does medical technology and its use in every aspect of the public health. Public Health Insurance Lastly, Health insurance has played a huge role and a on going development in the United States. Many believe the United States is on the edge of national healthcare reform. Healthcare cost seems to be unreasonable while 46 million American are uninsured. In the early 1900s proposals began to surface. In 1912, Theodore Roosevelt’s Bull Mosse party campaigned for health insurance. Moving to today’s day and age President Obama extends the state children’s Health Insurance program through 2013 and created the Obama care in with all citizens with the exception of some must have medical insurance. Public healthcare has developed from the World War to now, and is still continuing to change and evolve. This museum would be so beneficial to our organization and help educate and help our citizens better understand the history of public health. How to cite Healthcare Museum, Papers