Managed Healthcare Assignment

Managed Healthcare Assignment

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Managed Healthcare Assignment

Part I

For the lesson you were presented with two required readings. Choose one required reading article from each lesson and summarize the article and explain its importance to understanding managed care. Each summary should be a minimum of 250 words. Combine all summaries into one Word document.

Part II

Explain why the following course objectives are important to understanding managed care:

1) Describe the basic components of quality and utilization management, including structure, process, and outcome.

2) Identify and describe the basic structure of governance and management in payer organizations.

3) Understand the basic issues involved with Medicare Advantage and managed Medicaid plans.

4) Describe the basic structure of state and federal oversight of managed care organizations (MCOs).

***Include at least 3 scholarly articles as a part of your response as well as a minimum word count of 750 words. Overall response will be formatted according to APA style and the total assignment of Part II should be between 3-6 pages, not including title page and reference page.

ESSAY GUIDELINES -:

Write a 1000-1500-word essay addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper.

Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Length: 1000-1500 words; answers must thoroughly address the prompts in a clear, concise manner.

Evaluation Criteria for Paper

(10%) Resources used as rationale for approaches and as sources of content

_____ 5. (20%) write paper in a scholarly manner
(4%) Format includes title page, body of paper, & reference page, with pages numbered

_____ 5. (20%) Write the Paper in a scholarly manner
(4%) Format includes title page, body of paper, & reference page, with pages numbered