Author name: Rosemary Mosco

Discussion Question

Discussion Question

As discussed in the textbook, the health care industry continues to face challenges and patients are becoming more aware of patient rights with access to health care provider information.

  1. Specify what you believe to be the greatest challenge that the health care industry faces today. Provide a rationale for your response.
  2. Then, go to Strategic Plan FY 2018–2022 from the U.S. Department of Health & Human Services (HHS). Has the HHS strategically planned to address the challenge that you identified?
  3. Locate a health care organization that is positioned to address the challenge that you identified. How has—or how can—this organization address the challenge you described?

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Healthcare reimbursement systems

Healthcare reimbursement systems

answer the following questions in full detail and answer by letter

A. Discuss the components of each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicare, Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

B. Discuss the restrictions of each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicare, Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

C. Discuss the reimbursement process for each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

D. Discuss the inpatient and outpatient reimbursement processes for Medicare.

E. Analyze the impact the Medicare and Medicaid Patient and Program Protection Act of 1987 had on Medicare and Medicaid.

F. Analyze the impact the Recovery Demonstration Project had on Medicare and Medicaid.

G. Analyze the impact of anti-kickback statutes of both Stark II and the Medicare and Medicaid Program Protection Act of 1987 on healthcare providers.

H. Discuss how third-party payment calculations impact healthcare reimbursement in healthcare organizations.

I. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

RUBRIC

A. COMPONENTS OF INSURANCE PLANS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion contains some inaccuracies about the components of each of the given insurance plans, or the discussion lacks key details about each plan.

COMPETENT

The discussion is logical and correctly details the components of each of the given insurance plans.

B. RESTRICTIONS OF INSURANCE PLANS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion contains some inaccuracies about the restrictions of each of the given insurance plans, or does not discuss the restrictions for each of the given insurance plans.

COMPETENT

The discussion is logical and accurately discusses the restrictions of each of the given insurance plans.

C. REIMBURSEMENT PROCESS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion of the reimbursement process for each of the given insurance plans contains some inaccuracies or the reimbursement process is not discussed for each of the given insurance plans.

COMPETENT

The discussion for each of the given insurance plans accurately addresses the reimbursement process with key details about each process.

D. MEDICARE REIMBURSEMENT PROCESS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion of the inpatient and outpatient reimbursement processes contains some inaccuracies or either the inpatient or outpatient reimbursement process is not provided.

COMPETENT

The discussion accurately addresses both the inpatient and outpatient reimbursement processes for Medicare.

E. IMPACT OF MEDICARE AND MEDICAID PATIENT AND PROGRAM PROTECTION ACT:

NOT EVIDENT

An analysis is not provided.

APPROACHING COMPETENCE

The analysis of the impact of the Medicare and Medicaid Patient and Program Protection Act of 1987 on Medicare and Medicaid is illogical or poorly supported.

COMPETENT

The analysis of the impact of the Medicare and Medicaid Patient and Program Protection Act of 1987 on Medicare and Medicaid is logical and well supported.

F. IMPACT OF RECOVERY DEMONSTRATION PROJECT:

NOT EVIDENT

An analysis is not provided.

APPROACHING COMPETENCE

The analysis of the impact of the Recovery Demonstration Project on Medicare and Medicaid is illogical or poorly supported.

COMPETENT

The analysis of the impact of the Recovery Demonstration Project is logical and well supported.

G. ANTI-KICKBACK STATUTES:

NOT EVIDENT

An analysis is not provided.

APPROACHING COMPETENCE

The analysis of the impact of the anti-kickback statutes on either the Stark II or Medicare and Medicaid Program Protection Act of 1987 on healthcare providers is illogical or poorly supported.

COMPETENT

The analysis of the impact of anti-kickback statutes on both Stark II and the Medicare and Medicaid Program Protection Act of 1987 on healthcare providers is logical and well-supported.

H. THIRD-PARTY PAYMENT CALCULATIONS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion contains inaccuracies about how third-party payment calculations impact healthcare reimbursement in healthcare organizations.

COMPETENT

The discussion accurately addresses how third-party payment calculations impact healthcare reimbursement in healthcare organizations.

I. APA SOURCES:

NOT EVIDENT

The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.

COMPETENT

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.

PROFESSIONAL COMMUNICATION:

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

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Choose one topic to answer, about online documentation

Choose one topic to answer, about online documentation

Respond to one of the following topics.

  1. In their article, Baehr and Lang note that “Vannevar Bush envisioned information overload as one of the main problems facing workers in the computer-based information age. Today, content management and data mining are two important information management approaches that represent a blending of hypertext and Web 2.0 traits. For example, building an XML database may involve developing a structured authoring approach (rhizomatic schema or information model), multi-purpose templates (blending content types and style sheets), interactive navigation (intertextual user search and help tools), and methods for testing, mining, and archiving the data (usability, research).” (p. 48). They go on to further contend that current Web 2.0 tools allow for greater interaction between author and reader. What challenges do you think arise from creating online documentation that seeks to reduce information overload through targeted information models and delivery systems, but at the same time allows users flexibility in how they interact with that information?
  2. Tom Johnson in his article states, “Even if you get a user to the right topic, the topic often fails the user. Many users know this, which is why they often don’t bother to consult the help at all.” Have you had the experience of having online help fail you? Describe the situation (Why did you need the help? How did it fail to meet your needs?), then detail what you as an author could have done to rectify this failure.
  3. Online documentation encompasses many forms such as online help, interactive web-based tutorials, and screen tips. What comes first to your mind when you hear the term “online documentation”? Did you find any items in this week’s lecture that you had not thought about being under the umbrella of online documentation? Are there items you would add to this list? How would you define online documentation to someone with little technical knowledge?

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Social Media Need by Sunday 9/20

Social Media Need by Sunday 9/20

After reading about social media use and job satisfaction, reflect on how social media has become an integral part of employees personal and company’s professional lives. Within the context of the complex issues that employees and employers face, how do you think social media could or should be used to meet both employee and employer needs? This journal entry will prepare you to discuss the importance of social networks and social support for entrepreneurs and entrepreneurship in Week 6.

Hello here are some resources for you.

Charoensukmongkol, P. (2014, July 01). Effects of support and job demands on social media use and work outcomes. Computers in Human Behavior, 36(71), 340-349. Retrieved from http://www.looooker.com/wp-content/uploads/2014/05/Effects-of-support-and-job-demands-on-social-media-use-and-work-outcomes.pdf (Links to an external site.)

Hargittai, E. (2003). The digital divide and what to do about it. In D. C. Jones (Eds.), New Economy Handbook (822-841). San Diego, CA: Academic Press. 2003.

Offer, S. (2014). The Costs of Thinking About Work and Family: Mental Labor, Work-Family Spillover, and Gender Inequality Among Parents in Dual-Earner Families. Sociological Forum, 29(4), 916-936. doi:10.1111/socf.12126 Available in Academic Search Premier

Noonan, M. C., & Glass, J. L. (June 01, 2012). The hard truth about telecommuting. Monthly Labor Review, 135(6), 38-45. Retrieved from http://www.bls.gov/opub/mlr/2012/06/art3full.pdf

TEDx Talks. (2010, May 25). TEDxDesMoines – Christian Renaud – Future of the workplace and workforce [Video file]. Retrieved fromTEDxDesMoines – Christian Renaud – Future of the Workplace and Workforce (Links to an external site.)TEDxDesMoines - Christian Renaud - Future of the Workplace and Workforce

Thomas, K. J. (2014, January 1). Workplace technology and the creation of boundaries: The role of VHRD in a 24/7 work environment. Advances in Developing Human Resources, 16(3), 281-295.

The textbook:

Alonso-Villar, O., Del Rio, C., & Gradin, C. (2012). The extent of occupational segregation in the United States: Differences by race, ethnicity, and gender. Industrial Relations: A Journal Of Economy & Society, 51(2), 179-212. doi:10.1111/j.1468-232X.2012.00674.x

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Staffing Startegy

Staffing Startegy

You are the Director of Human Resources for a rapidly growing technology firm. In the past three weeks, your organization has seen a huge increase in profitability and has contracted with 30 new corporate clients. Your employees are doing the best that they can to ensure the success of your organization during this time of being understaffed, but the CEO, CFO, managerial staff, etc. know that the company needs to hire new employees.

For this Critical Thinking Assignment, please do the following:

  1. Provide information about the technology industry. Specifically, explain details, through conducting research, regarding the competitive nature of this industry.
  2. Make a case for hiring either full-time, contingent, or contract employees. Explain the benefits and drawbacks of hiring your selected workforce type(s).
  3. Since you will need to recruit over 100+ technology employees, given organizational growth, explain if you believe that the recruitment function should be kept in house or outsourced. Justify your rationale.

Requirements:

  • Write a 5-7 page paper, or about 2300 words, not including the title and reference pages, which are required. Using the attached.
  • Your paper must be properly cited and formatted according to the CSU Global Writing Center (Links to an external site.).
  • Include a formal references page. This is an individual paper; however, you should reflect on our discussion forums and incorporate ideas from there, as appropriate.
  • You must support your analysis with at least three scholarly references, and can add resource from
    • A scholarly or peer-reviewed journal article.
    • A government-based website or publication.
    • A trade or industry journal article, publication, or website, including those from trade organizations such as SHRM.org and TD.org.

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