Managed Health Essay Assignment Help

October 15, 2022

Managed Health Essay Assignment Help

Order ID:89JHGSJE83839

Style:APA/MLA/Harvard/Chicago

Pages:5-10

Instructions:

Managed Health Essay Assignment Help

Do you understand the workings of health insurance in the United States? This assignment will give you an opportunity to demonstrate the knowledge acquired so far. Please respond to all of the questions below in a word document. Each correct and complete response is worth 20 points. Make sure to type the questions and the answers in order.

Why were the first health insurance organizations formed in America? What were the original driving factors? Describe the early growth of health insurance in the US.

Explain the theory of insurance, by specifically addressing the degree of risk aversion, the size of the potential loss, and the “wealth effect”.

What is meant by the “HMO Effect” versus “Favorable Selection” in managed care? Describe the evidence of an HMO Effect, and the evidence of Favorable Selection.

What are deductibles? Why are they so important in US health insurance models? How do changes in deductibles impact utilization and clinical decision-making.

Discuss the Utilization Management function in managed care, including Preadmission Certification and Concurrent Review of services.

Discuss the emerging role of Disease Management (DM) and Intensive Case Management in American managed care. How does DM actually work?

A key concept of health insurance is premium sensitivity. Describe the general process for premium computations in US healthcare insurance. Briefly explain employee premium sensitivity and how do employees typically respond to changes in health insurance premiums?

Describe the commonly used approaches to “underwriting” for healthcare services.

Do hospitals actually have “monopoly power” today? Why or why not?

RUBRIC

Excellent Quality

95-100%

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.

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.

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