Medicare Regulations Medicare is a federally regulated program that mandates compliance to its standards through state and federal oversight. One of the primary purposes of Medicare regulations is the protection of its recipients. For the week 5 , address the following, keeping in mind the above information: Discuss the advantages and disadvantages of Medicare Advantage…
Extending health care services to all persons is a popular topic of discussion, but the overall cost of paying the bill for the services is what seems to stop it from becoming a reality. Take some time to research the facts regarding what it would cost to extend basic medical services to all persons in…
Discuss the information listed below by providing a sufficient analysis on the subject matter. In the 1980s and 1990s, hospitals and health systems went on a buying binge, acquiring medical practices during the expansion of managed care. A generation later, the same phenomenon is recurring with industry consolidation, ACO experimentation, and value-based healthcare initiatives. How…
Illegal Billing Practices Reimbursement procedures are complex and detailed, especially those associated with government programs such as Medicare. Part of the regulatory requirements of Medicare is to prevent illegal billing practices such as churning, upcoding, and unbundling. For the Week 4 discussion, address the following, keeping in mind the above information: Review the latest enforcement…
Current Trends and Issues in Managed Care Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn’t have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence. This week, you are required…
In addition to your assigned reading, conduct a literature review of health care organizations that have implemented an EHR. Identify one health care organization in particular that has implemented an EHR. Create a PowerPoint presentation on the implementation of an EHR within a health care organization. Provide a brief introduction about the health care organization,…
Telemedicine can be extremely beneficial for people living in isolated regions and is currently being applied in virtually all medical domains. To address major health issues related to affordability, access, and quality of care, healthcare providers need to consider telemedicine as a reliable option when access to traditional medicine is difficult and out of reach.…
The privacy of personal information and of health information in particular, continues to be a dynamic issue in the United States. As more and more health information is computerized, healthcare consumers express concern about their privacy and that they are losing control over their personal health information. (https://cdt.org/about/#issues) Click here to access the section of…
Long-Term Care Today Demographics and epidemiological transitions result in dramatic changes in the health needs of individuals throughout the globe. In recent times, there has been increase in the prevalence of long-term disability in the population—causing increasing need for long-term care services. In addition, the present developing world is experiencing an increase in the demand…
Standard Performance Measures Standard performance measures are a way of collecting data across similar functions, processes, costs, and providers. Benchmarking against these standards has proven to be useful in healthcare as a tool to measure many facets of quality. Carefully evaluating these measures allows for management to design appropriate programs to assist with healthcare service…