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Health Care Models Assignment
Overview
In this assignment, you consider a scenario in which you are asked to compare U.S. government and private sector health care financing models.
Scenario
The hospital board of directors has made a request for you to provide and present a report to them on government and private sector healthcare financing models. As part of the report, the board of directors has asked you to also provide an overview of the types of Medicare policies and provider incentives for pay for performance. As part of the report, you have been tasked with completing two parts of the report.
Your report should include the following information:
• A table that compares a government and private sector healthcare model.
• A 300-word summary on the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance.
Instructions
Consider the scenario and complete both parts of this assignment using the Week 8 Assignment Template [DOCX]
Download Week 8 Assignment Template [DOCX]
for comparison of the government and private sector health care financing models. Complete the template using your own words and write a 300-word summary on the types of Medicare policies and provider incentives for pay for performance below the table. Three creditable sources are required for the assignment
Part 1: Comparing Health Care Models
In Part 1 of this assignment, you will compare the cost, access, reimbursement, and quality of government and private sector models. Choose one government and one private sector model from the list below and begin your research.
• Government
• Medicare.
• Medicaid.
• Veteran’s Administration.
• Private Sector
• Employer Provided Insurance.
• HMO.
• PPO.
One of the characteristics that you will consider—quality—should be assessed using the Centers for Medicare and Medicaid Services (CMS) Quality measures. Optional resources to aid your assessment can be found at:
• National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Reports Links to an external site.
.
• Quality Measures: How They Are Developed, Used & Maintained Links to an external site.
• HEDIS Measures and Technical Resources Links to an external site.
.
Part 2: Summary of Medicare Policies and Provider Incentives for Pay for Performance
In Part 2 of this assignment, you will write a 300-word summary on the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance.
Additional Requirements
• Use at least three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment.
• This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.
The specific course learning outcome associated with this assignment is:
• Assess current U.S. health care financing and funding models, including policy, regulations, and national trends.
