Formative 1
Health Insurance
Health insurance has the ability to stabilize prices in health care. In this assessment, the insurance companies' role in price changes through reimbursement programs and bundled payment models will be addressed.
Pick one of CMS’s quality programs. Read about the initiative and create a flowchart showing areas where the health insurance can participate and areas where the hospital can participate.
Formative 2
Health Insurance: Formative Assessment 2
The American Rescue Plan Act required states to keep people on Medicaid health insurance until the end of the public health emergency. This has provided an opportunity for more people to stay insured. In this assessment, we dive into the state of the US Health system.
Read about how the American Rescue Plan Act’s requirements increased patient enrollment in Medicaid. Consider how the pandemic affects this increase in coverage for those in need. Write a 2-3 page essay documenting opportunities available to fill these gaps in access as the pandemic slows down. Use this article to support decisions made by the health leader.
Summative 1
- Click here to read the case study: (https://www.commonwealthfund.org/publications/issue-briefs/2022/sep/state-us-health-insurance-2022-biennial-surveyLinks to an external site.)
- APA paper should be 5-7 pages , excuding Cover and Reference Pages. Include at least 3 peer-reviewed references within the last 3 years.
Specific Assignment Details
- Essay includes health insurance’s role in price changes.
- Essay includes health insurance's role in price changes through bundled payment programs.
- Essay includes pandemic effect on insurance coverage.
- Essay includes how the pandemic affects this increase in coverage for those in need.
- Essay documents opportunities available to fill these gaps in access as the pandemic slows down.
- Essay includes how the American Rescue Act’s requirements increased patient enrollment in Medicaid.
- Click here to download the assignment template.
Refer to the rubricDownload rubric for evaluation criteria.
Final Summative
Provide a 10-15 slide PowerPoint presentation (excluding Title and Reference slides) with detailed Speaker Notes and audio.
Specific Assignment Details
Presentation should include the following:
- Case Study: "An Extended Stay Download An Extended Stay"
- Identify and discuss the errors
- Discuss evidence-based recommendations you would make to the organization to fix the errors identified.
- Based on the errors identified in this Case Study, discuss the financial, economic, policy, and insurance impact on the patient and the organization.
- Decision-making process with the following elements:
- Identify the appropriate leader and discuss their role in decision-making around the financial impact on the organization.
- Identify the appropriate leader and discuss their role in decision-making around the economic impact on the organization.
- Identify the appropriate leader and discuss their role in decision-making around policy changes within the organization.
- Identify the appropriate leader and discuss their role in decision-making around any insurance impact on the organization.
- Click here to download the assignment template.
Refer to the rubricDownload rubric for evaluation criteria.