Order ID:89JHGSJE83839 | Style:APA/MLA/Harvard/Chicago | Pages:5-10 |
Instructions:
Cost Control Measures in Voluntary Health Insurance Plans
Discussion: Cost-Control Measures in Voluntary Health Insurance Plans
If you are not a Medicare or Medicaid beneficiary, then you will either get your health insurance through your employer or buy it yourself through the Health Insurance Marketplace. This type of insurance is referred to as voluntary health insurance.
The way in which health insurance is available for purchase changed drastically with the enactment of the Affordable Care Act (ACA) in 2010. The ACA was “designed to ensure that all Americans have access to quality health care that is affordable and that will ultimately reduce healthcare costs” (Harrington, 2021, p. 73). The ACA transformed healthcare and the health insurance industry in many ways, some of which will be explained in your readings this week.
In this Discussion, you examine different voluntary health insurance plans, including the ACA, and the way in which they use cost-control measures. You will also discuss how participation in these plans impacts healthcare providers. Consider the scenario in this week’s Introduction as you prepare your Discussion.
References:
Harrington, M. K. (2021). Health care finance and the mechanics of insurance and reimbursement (2nd ed.) Jones & Bartlett Learning.
To prepare for this Discussion:
Review this week’s Learning Resources.
Choose one of the following voluntary health insurance plans:
Coverage through the ACA
Health maintenance organization (HMO)
Preferred provider organization (PPO)
Point of service plan (POS)
Exclusive provider organization (EPO)
Review Chapters 5 and 6 in Harrington (2021).
Find at least one current, reputable online source (e.g., .org, .edu, .gov, or .mil) that discusses the cost-control measures used by the plan you selected and the impact it may have on providers.
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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Cost Control Measures in Voluntary Health Insurance Plans |
Cost Control Measures in Voluntary Health Insurance Plans