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Week 1 Part 1:?Comparing Health Plans? Health insurance can protect individuals from unexpected, high medical costs. In exchange for the payments of insurance premiums, the payer (insurance company) is responsible for paying some or most of the costs of medical services. The payer bears the risk for medical expenses, which is subject to cost sharing and coverage limitations. In Part 1 of your initial post,? Select a managed care plan such as a health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS), or exclusive provider organization (EPO). Discuss the features, advantages, and disadvantages of your selected managed care plan. Explain the main features of a consumer-directed health plan (CDHP). Assume the role of the decision-maker looking for a health plan for your family, Select one of the plans among HMO, PPO, POS, EPO, or CDHP. Be sure to include a real-life health plan (e.g., Cigna 2000 Choice with a health savings account) that could be the health plan offered by your employer. Discuss the rationales of your selected plan in terms of (a) covered benefits, (b) choice of providers, and (c) level of cost sharing. Part 2:?Managed Care Trends The intent of controlling health care costs has promoted the development of managed care organizations (MCOs) in the past few decades. On the other hand, there have been several legislations enacted to contain health care costs and facilitate the growth of managed care. Managed care is a complex system organized to manage cost, quality, and utilization for delivering and financing health care. Managed care has three main aims: improve health care quality, reduce health care costs, and increase access to health care. In Part 2 of your initial post,? Examine how the Patient Protection and Affordable Care Act of 2010 has impacted health plans in terms of quality, cost, and access. Analyze the current and future trends of managed care in the context of health care reforms. Your initial post (Parts 1 and 2) should be at least 500 words. Support your response with a minimum of two scholarly sources published in the last 5 years. Week 2 The U.S. health care system has been criticized for high cost, inefficacy, and issues with quality. Public and private payers have attempted to utilize various payment methodologies to change providers’ behaviors so that higher quality of care with lower costs can be expected. Pay for performance (P4P) is an approach used to offer incentives to health care providers and organizations to achieve improved performance by increasing the quality of care and reducing costs. For this discussion, you are taking on the role of a director of managed care contracts at the Franciscan Hospital. Your CEO asks you to hold a seminar for the newly hired employees. In your initial post, Explain four provider payment methods: (a) fee-for-service, (b) capitation, (c) global capitation or global payment, and (d) bundled payment. Select one provider payment method from the above as the mainstream provider payment, and compose a detailed account of the benefits and risks from the health care providers’ perspectives. Evaluate the impacts of P4P on provider payment reform brought by the Affordable Care Act. Appraise the health care providers’ reactions to value-based payments. Your initial post should be at least 500 words. Support your response with a minimum of two scholarly sources published in the last 5 years. Week 3 Utilization management helps health care organizations control costs and improve quality. The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. For this discussion, you are taking on the role of the director of utilization management at Mount St. Clare Medical Center. Some practice variations have been observed among health care providers at your medical center. Your CEO asks you to conduct training for your health care providers. In your initial post, Differentiate three basic components of utilization management as depicted in Figure 5.1 in Chapter 5 of your textbook. Explain the importance of drug utilization review and step therapy. Distinguish between disease management (DM) and case management. Examine a successful DM program (e.g., Aetna Health Connections disease management program) from real-life provided by an employer, hospital, health insurer, or other entity. Be sure to address its accreditation or certification status, if any, and its impacts on health care quality and cost. Your initial post should be at least 500 words. Support your response with a minimum of two scholarly sources published in the last 5 years. Week 4 For this discussion forum, you are taking on the role of the human resources director in a large health system. Your CEO is unhappy with the current health insurance company due to their poor member services and claim processes. You are tasked to find another company that provides excellent member services and timely claim processes. Your benefits consultant, who represents several insurance companies, is on Family and Medical Leave (FMLA) for 2 months. You decide to search online and locate a top-rated health insurance company (e.g., UnitedHealth, Aetna, etc.). Using the health insurance company that you found, compile the critical information about what they offer to make an informed choice. In your initial post, Describe the member services of the health insurance company you found online (e.g., UnitedHealth or Aetna). Discuss current or upcoming technology that benefits plan members. Examine the member’s outreach program and incentives for wellness and prevention. Identify its accreditation or certification, and its commitment to excellence and quality. Generate at least one suggestion to improve the company’s member services or website. Your initial post should be at least 500 words. Support your response with a minimum of two credible sources published in the last 5 years. Week 5 Medicare is a federal government health insurance program that mandates compliance with its standards through state and federal oversights. One of the core Medicare regulations is to protect its recipients. The Balanced Budget Act of 1997 formalized Medicare health maintenance organization (HMO) and named it as Medicare+Choice. Later, the Medicare Modernization Act of 2003 renamed it as Medicare Advantage. In your initial post, Describe federal or state regulations of Medicare Advantage plans. Outline two pieces of vital information regarding Medicare Advantage plans from the Kaiser Family Foundation’s https://www.kff.org/medicare/ webpage. Your initial post should be at least 300 words. Support your response with a minimum of two credible sources published in the last 5 years Week 6 The federal government has increasingly overseen the insurance industry over the past few decades. Congress and federal regulatory agencies have played a considerable role in how managed care is provided. The laws are evolving and expanding. On the other hand, states have a broad range of control of managed care organizations. The main goals of the states are to protect the interest of the consumer and regulate the structure of managed care organizations (MCOs). Based on the first letter of your last name, read your assigned law and respond to the directives. Your initial post should be at least 350 words. Support your response with a minimum of two credible sources published in the last 5 years S = Read the Patient Protection and Affordable Care Act (PPACA). In your initial post, Summarize your assigned federal law governing managed care and insurance market. Describe its impacts on individuals, employers, and payers. Identify two state laws regulating MCOs and health insurers.

Locate a peer-reviewed journal article published within the last 3-5 years related to leadership negotiation skills in a healthcare organization and complete an article critique. Your critique should include the following: Introduction Summary of the research, including its main question or objective Methodology Discuss the study design and its appropriateness for addressing the research question. Comment on participant selection and potential biases. Share thoughts on the measurement tools used in the study. Findings Summarize the main findings. Share observations on the data analysis and any results that stood out. Discussion Explain how the authors interpreted their findings. Offer your perspective on any alternative explanations the authors might have missed. Implications Explore how the findings contribute to the field and suggest areas for future research. Strengths and Limitations Discuss the strengths of the study. Highlight potential limitations and their implications. Conclusion Assess the research’s rigor and significance to the field. See rubric for specific grading criteria. Add two possible replies to peers

Week 2 There are several key elements required in a health care provider's contract with a managed care organization (MCO). A typical contract between an MCO and a physician contains definitions, terms, obligations, and other features of payer-provider agreements. Terms and clauses are not expected to be changed, while payment terms that can be renegotiated should be placed in appendices. For this assignment, you are taking on the role of a provider relations manager at Allianta insurance company. You have an appointment with the practice administrator and physician leader at Ashford Medical Group (AMG), which is a multispecialty practice with 10 health care providers. Currently, AMG is not a participating provider at Allianta. The goal of this appointment is to recruit AMG to be an in-the-network provider at Allianta. For this assignment, you must prepare a thorough PowerPoint presentation and record a screencast video of your PowerPoint presentation. You must use the Provider contracts presentation powerpoint template. Compose a transcript for your presentation in the Speaker Notes area Part 1: PowerPoint Presentation The PowerPoint presentation must include the following: Identify the justifications for health care providers to contract with Allianta. Note: Reference Table 3.1 - Payer and Provider Reasons for Contracting in your textbook for information regarding the benefits of being an in-the-network provider. Discuss the credentialing process. Examine two important common clauses in the contract: no balance billing and nondiscrimination. Analyze the importance of provider contracts in maintaining a provider network. Explain network adequacy and its significance to health plan members. The Provider Contracts Presentation video must be five to seven minutes in length and share your 10- to 12-slide PowerPoint presentation. The PowerPoint presentation must include a separate title slide with the following in title case: title of project in bold font Space should appear between the title and the rest of the information on the title page. student’s name name of institution (The University of Arizona Global Campus) course name and number instructor’s name due date must include introduction and conclusion slides. must use at least three scholarly, peer-reviewed, or credible sources published in the last 5 years must include a separate references slide that is formatted according to APA Style Week 3 This assignment is designed to get you started on your research and development of the final paper. Go to Week 6, and review the requirements for your Managed Health Care Delivery Models final paper. For the final paper, you are to choose a managed health care delivery model, an accountable care organization, or a patient-centered medical home. For this assignment, you will write a two-page detailed outline that addresses the first three requirements of your final paper. For your Final Paper Prep, develop an outline that addresses the following: Discuss the origin and structure of your selected managed health care delivery model. Describe how your selected model strives to contain the costs or improve the quality of care. Summarize health care providers’ contracts and payment methods in your selected model. The Final Paper Prep must be two to three double-spaced pages in length (not including title and references page and formatted according to APA style. must include a separate title page with the following in title case: title of paper in bold font Space should appear between the title and the rest of the information on the title page. student’s name name of institution (The University of Arizona Global Campus) course name and number instructor’s name due date must use at least three scholarly sources published in the last 5 years in addition to the course text. must include a separate references page that is formatted according to APA Style as outlined in the Writing Center. Week 5 The Patient Protection and Affordable Care Act (PPACA) was signed into law by President Obama in 2010. The law is expected to significantly increase access to Medicaid for uninsured, low-income families and individuals. Medicaid managed care plans have been implemented by most states, mainly because of rising costs, plan quality, access to providers, and the decrease in state revenues. For your Medicaid Managed Care Plans assignment, you must complete a two- to four-page paper. In your paper, Describe the role of Medicaid managed care plans in the health care delivery system. Analyze the challenges Medicaid managed care plans face in terms of access to care, quality of care, and cost of care. Formulate at least one recommendation to overcome the challenge(s) that you identified. The Medicaid Managed Care Plans paper must be two to four double-spaced pages in length (not including title and references page) and formatted according to APA style. must include a separate title page with the following in title case: title of paper in bold font Space should appear between the title and the rest of the information on the title page. student’s name name of institution (The University of Arizona Global Campus) course name and number instructor’s name due date must utilize academic voice. must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. must use at least two scholarly or peer-reviewed sources published in the last 5 years in addition to the course text. must include a separate references page that is formatted according to APA Style as outlined in the Writing Center. Week 6 The Patient Protection and Affordable Care Act (PPACA) of 2010 brought many changes to the types of provider organizations available. Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) are two organizations formed under the PPACA. Both ACOs and PCMHs are models that are established to promote coordinated high-quality care at lower costs and improve patient outcomes. You must select either ACOs or PCMHs for this final paper. For your Managed Health Care Delivery Models final paper, you must complete an eight- to 12-page paper. In your paper, Discuss the origin and structure of your selected managed health care delivery model. Describe how your selected model has striven to contain the costs or improve the quality of care. Summarize health care providers’ contracts and payment methods in your selected model. Assess the impacts of your selected model on either Medicare or Medicaid. Examine one specific public policy or regulation (e.g., PPACA) in relation to your selected model. Evaluate the challenges or opportunities facing payers and providers in your selected model. Create a plan of action to overcome identified challenges or take advantage of identified opportunities in the context of access, quality, and cost. The Managed Health Care Delivery Models final paper, must be eight to 12 double-spaced pages in length (not including title and references pages and formatted according to APA Style. must include a separate title page with the following in title case: title of paper in bold font Space should appear between the title and the rest of the information on the title page. student’s name name of institution (The University of Arizona Global Campus) course name and number instructor’s name due date must utilize academic voice. must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. must use at least two scholarly or peer-reviewed sources published in the last 5 years in addition to the course text. must include a separate references page that is formatted according to APA Style as outlined in the Writing Center.

in 300 words, answer the following questions correctly, no Ai nor Plagiarism. Ensure your work in APA 7 format. your references must not be older than 5 years What are the signs of depression or anxiety? How can stress affect my physical health? What treatments are available for insomnia?

No need of an outline Evidenced-Based Practice - Evaluating a Quantitative Research Study Instructions Critically evaluate Study 3. Evaluate the credibility of professional citation, research design, and procedures in a research article. Include a discussion on how this study contributes to evidence-based practice. Study 3 - Patients’ and partners’ health-related quality of life before and 4 months after coronary artery bypass grafting surgery Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Options for Delivery of Assignment guidelines. Submission Options for Delivery of Assignment *Choose One: Instructions: Paper 2 to 3-page paper. Include title and reference pages. Microsoft PowerPoint Presentation 4 to 8 slides. Add title and reference slides. Follow Rules of 7. Other media (Prezi, etc.) presentation 4 to 8 slides with speaker notes. Add title and reference slides. Follow Rules of 7. Video Presentation 5 to 6-minute video presentation. Attach reference page or include in video. Professional appearance and background. Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report. Table Table with appropriate columns and headers. Include title and reference pages. Graphs or other illustrations Graphs or illustrations with appropriate labels. Include title and reference pages. Poster Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster. Note: Title and reference pages/slides do not count towards the count requirements. Assignment 2 Grading Rubric Evidenced-Based Practice - Evaluating a Quantitative Research Study? Description:? The baccalaureate graduate nurse will demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.? Course Competencies: 1, 2, 3, 4, 5 QSEN Competencies: 1, 3, 4, 6 The Essentials: Core Competencies for Professional Nursing Education: Domain 1, 4, 5, 8? Competency Mastery? Proficient? Acceptable? Acceptable Mastery Not Demonstrated? Evaluates research design of study using all of the components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using all of the components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using (75%) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using some (50% or less) components of the evaluation checklists in??LoBiondo-Wood & Haber, (2018).?? Does not address section.? Evaluates methods/procedure, and results of the study using all of the components of the evaluation checklist in???LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedure, and results of the study using all of the components of the evaluation checklist in???LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedures and results of the study using (75%) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedures and results of the study using some (50% or less) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Does not address section.? Discusses the importance of research, how the study contributes to EBP and applicability of the specific study to clinical practice.? Discusses the importance of research, how the study contributes to EBP and applicability of the specific study to clinical practice?. Discusses the importance of research and how the study may contribute to EBP in general but not how the specific study contributes to current clinical practice.? Provides simple definitions of research and evidence but does not delve into the relationship among research, evidence-based practice and improving practice.? Does not address section.? Three scholarly resources are utilized References cited appropriately and are not older than acceptable nursing program standards, unless they are considered seminal works References are from pertinent peer reviewed articles, journals or appropriate textbooks Web- references have authors, dates and can easily be accessed with the URL provided Unreliable references are avoided (e.g. Wikipedia) Three scholarly resources are utilized All criteria were met. Two scholarly resources are utilized AND/OR One of the 4 cited criteria was violated. One resource for scholarly evidence is utilized. AND/OR More than one of the 4 cited criteria was violated. No scholarly resources referenced. AND/OR More than 2 of the 4 cited criteria were violated. APA, Grammar, Spelling, and Punctuation No errors in APA, grammar, spelling, and punctuation. One to three errors in APA, grammar, spelling, and punctuation. Four to six errors in APA, grammar, spelling, and punctuation. Seven or more errors in APA, spelling, and punctuation. The submission does not meet format guidelines.

I just need the answer no outline Evidenced-Based Practice - Evaluating a Qualitative Research Study Instructions Critically evaluate Study 4. Evaluate the credibility of professional citation, research design, and procedures in a research article. Include a discussion on how this study contributes to evidence-based practice. Readings & Resources Study 4 - Hallberg, I., Ek, A. C., Toss, G., & Bachrach-Lindstrom, M. (2010). Striving for independence: a qualitative study of women living with vertebral fracture. BMC Nursing, 9(7). Suggested Reading Schreiber, M. L. (2016). Evidence-based practice. Negative pressure wound therapy. MEDSURG Nursing, 25(6), 425-428. Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing, 18(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 Wakefield, A. (2014). Searching and critiquing the research literature. Nursing Standard, 28(39), 49-57. doi:10.7748/ns.28.39.49.e8867 Qualitative Specific Resources Chapters 1: Integrating Research, Evidence-Based Practice, and Quality Improvement Processes, Chapter 2: Research Questions, Hypotheses, and Clinical Questions, Chapter 3: Gathering and Appraising the Literature, and Chapter 7: Appraising Qualitative Research includes the checklist for qualitative research in Table 7.1 starting on page 115 in LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice. Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Options for Delivery of Assignment guidelines. Submission Options for Delivery of Assignment *Choose One: Instructions: Paper 2 to 3-page paper. Include title and reference pages. Microsoft PowerPoint Presentation 4 to 8 slides. Add title and reference slides. Follow Rules of 7. Other media (Prezi, etc.) presentation 4 to 8 slides with speaker notes. Add title and reference slides. Follow Rules of 7. Video Presentation 5 to 6-minute video presentation. Attach reference page or include in video. Professional appearance and background. Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report. Table Table with appropriate columns and headers. Include title and reference pages. Graphs or other illustrations Graphs or illustrations with appropriate labels. Include title and reference pages. Poster Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster. Note: Title and reference pages/slides do not count towards the count requirements. Assignment 1 Grading Rubric Evidenced-Based Practice-Evaluating a Qualitative Research Study Description:? The baccalaureate graduate nurse will demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.? Course Competencies: 1, 2, 4, 5 QSEN Competencies: 1, 3, 6 The Essentials: Core Competencies for Professional Nursing Education: Domain 1, 4, 5, 8? Competency Mastery? Proficient? Acceptable? Acceptable Mastery Not Demonstrated? Evaluates research design of study using all of the components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using all of the components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using (75%) components of the evaluation checklists in?? LoBiondo-Wood & Haber, (2018).?? Evaluates research design of study using some (50% or less) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Does not address section.? Evaluates methods/procedure, and results of the study using all of the components of the evaluation checklist in???LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedure, and results of the study using all of the components of the evaluation checklist in ?LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedures and results of the study using (75%) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Evaluates methods/procedures and results of the study using some (50% or less) components of the evaluation checklists in???LoBiondo-Wood & Haber, (2018).?? Does not address section.? Discusses the importance of research, how the study contributes to EBP and applicability of the specific study to clinical practice.? Discusses the importance of research, how the study contributes to EBP and applicability of the specific study to clinical practice.? Discusses the importance of research and how the study may contribute to EBP in general but not how the specific study contributes to current clinical practice.? Provides simple definitions of research and evidence but does not delve into the relationship among research, evidence-based practice and improving practice.? Does not address section.? Three scholarly resources are utilized References cited appropriately and are not older than acceptable nursing program standards, unless they are considered seminal works References are from pertinent peer reviewed articles, journals or appropriate textbooks Web- references have authors, dates and can easily be accessed with the URL provided Unreliable references are avoided (e.g. Wikipedia) Three scholarly resources are utilized All criteria were met. Two scholarly resources are utilized AND/OR One of the 4 cited criteria was violated. One resource for scholarly evidence is utilized. AND/OR More than one of the 4 cited criteria was violated. No scholarly resources referenced. AND/OR More than 2 of the 4 cited criteria were violated. APA, Grammar, Spelling, and Punctuation No errors in APA, grammar, spelling, and punctuations One to three errors in APA, grammar, spelling, and punctuation. Four to six errors in APA, grammar, spelling, and punctuation. Seven or more errors in APA, spelling, and punctuation. The submission does not meet format guidelines. ReplyForward Add reaction

Polypharmacy is a unique concept to consider in the management of patients. Students are asked to read the following article and discuss one aspect of the article they found most interesting. Students are asked to find one additional reference to support their discussion post and upload the pdf. Response posts are to provide evidential support for their posts for maximum credit.

I am attaching my mid-term assignment along with the professor's feedback, as well as the information and guidelines for the final assignment. Please make corrections based on the feedback and ensure the final assignment follows the provided guidelines. The mid-term and final assignments are connected08:36 PM

Dear freelancer, please create a 600 words APA style paper as speaker notes for a future presentation. So the content of the paper needs to be divided in 6 prompts, each 100 words each, that would be used as speaker notes. This speaker notes need to follow the attached instructions and be based on the attached previous assignment, Assignment 3.

As advanced practice nurses, you will play a vital role in collaborating with patients, families, and healthcare teams to deliver safe, ethical, and effective care. Core competencies have been developed to guide the knowledge, skills, and attitudes needed to succeed in this role, from clinical decision making to patient education and interprofessional collaboration. At the same time, artificial intelligence (AI) is rapidly transforming healthcare by improving diagnostics, streamlining administrative tasks, and enhancing patient care. As technology continues to evolve, integrating AI into your clinical practice and understanding its impact on your competencies will be essential for future ready, evidence-based care. In this discussion, you will reflect on how AI can influence and enhance advanced nursing practice competencies and consider how this course may support your professional development and long-term career goals. Review this week's Learning Resources, with a focus on advanced nursing practice competencies and the evolving role of artificial intelligence (AI) in healthcare. Consider how AI tools and technologies are shaping the way nurse practitioners deliver care and how this aligns with your professional goals. Post a response that addresses the following: Reflect on specific advanced practice competencies (such as patient assessment, evidence-based practice, or interprofessional collaboration) and discuss how AI tools and technologies could enhance these competencies. How might AI impact your ability to perform at a higher level in these areas? Consider both the potential benefits and the challenges that could come with integrating AI into practice. Identify potential ethical challenges associated with the use of AI in healthcare. Discuss how AI may contribute to improved patient outcomes. How might AI help reduce healthcare disparities, such as improving access to care in underserved communities? Consider how your reflections and the content in this course may help you refine your competencies and support your career goals in a technology driven healthcare environment. Support your response with at least three current, credible scholarly sources (published within the last 5 years). Please note that the course text is not considered a scholarly reference.