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HSM 546 Week 4 Assignment Managed Care Enrollment Scenario Summary Managed Care Plan Enrollment Atlanta, Georgia has a very diverse work force, consisting of men and women of various ages, ethnic groups, skills, and education. Many people live and work in one of approximately 14 counties that make up the Atlanta region. It is not uncommon for an employee to drive close to 100 miles one way to get to work. The employer base is diverse as well, consisting of large and small employers that…

HSM 546 Week 4 DQ 2 Claims and Benefit Administration Explain the purpose of claims and benefits administration within a managed-care organization.

HSM 546 Week 5 DQ 1 Social Insurance Medicaid Discuss the evolution of Medicaid from its inception to present. Discuss some of the reasons behind the decision of many states to use managed care models of delivery for the recipients of Medicaid.

HSM 546 Week 5 Quiz (TCO F) Which of the following payment policies addresses the issue of selection bias among Medicare risk plans? (TCO F) Which of the following standardized measures for quality of care is commonly used for managed care and Medicare programs? (TCO F) Which of the following represents the largest group of persons in the Medicaid program? (TCO F) Outcomes of the TRICARE program suggest that _____. (TCO F) Which of the following has been adopted as the new quality…

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HSM 546 Week 4 DQ 1 Consumer Strategy Think about the numerous healthcare trends that are affecting employers. Which trends do you feel have the greatest impact on an employer and why? In your response, you may want to consider the size of the employer.

HSM 546 Week 6 DQ 1 The Regulatory Environment and Quality in Managed Care Discuss the link between legal issues, regulatory oversight, and quality improvement. Has regulatory oversight improved quality? If so, how? If not, why? Discuss types of MCO organizations.

INFO 103 Week 2 DQ 2 Searching for Information Searching for Information What are the benefits of using search engines, such as Google, Yahoo!, or Bing? What are some of the limitations and dangers of using information that is widely available on the Web?

HSM 546 Week 6 DQ 2 The Quality of Healthcare The Institute of Medicine’s committee on the Quality of Health Care has six proposed areas for improvement in the healthcare system: safe, effective, patient centered, timely, efficient, and equitable. Select one of these areas and discuss why it was selected and identify its intended outcome.

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