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LP03 Assignment: Utilization Review and Quality Management

HA3120D – Essentials of Managed Care SU20 B – Section D01 LP03 Assignment: Utilization Review and Quality Management   As employers look to control health care costs, MCOs have implemented utilization review protocols to ensure the right care is provided to patients at the right time. At the same time, employers, regulatory agencies and accreditation organizations

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Assignment 1: Emerging/Current Health-Care Issue

  Due Week 4 and worth 110 points  Research Paper: 3–5 pages  The purpose of this paper is to examine an emerging/current issue in health care. Potential topics are but not limited to the following:  Reemerging outbreaks such as measles or Ebola  Human trafficking   Violence in health-care settings  Medical tourism  Consumer-directed health care  Assisted suicide 

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Journal entry #2

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Gainsharing

Question A What are the differences between a Scanlon Plan and a Rucker Plan? Which do you think would be more beneficial to employees? In general, do you think gainsharing plans are a good idea? Does your answer depend on whether or not a union is present? Question B Many companies establish and post a

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